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General NPI Number Information
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NPI Number | 1811160682
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Entity Type | Individual
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Provider Name | JOAN ELLIOTT PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 1900 E TAHQUITZ CANYON WAY SUITE C-3
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City | PALM SPRINGS
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State | CA
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Zip | 92262-7024
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Country | US
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Telephone | 760-898-3036
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 E TAHQUITZ CANYON WAY SUITE C-3
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City | PALM SPRINGS
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State | CA
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Zip | 92262-7024
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Country | US
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Telephone | 760-898-3036
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 19491
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License Number State | CA
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