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General NPI Number Information
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NPI Number | 1811261373
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Entity Type | Individual
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Provider Name | BRIANNA SATTERTHWAITE PSYD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 24863 W JAYNE AVE
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City | COALINGA
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State | CA
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Zip | 93210-9502
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Country | US
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Telephone | 559-246-9766
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Fax | 877-818-2250
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Provider Business Mailing Address
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Address Line | PO BOX 27542
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City | FRESNO
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State | CA
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Zip | 93729-7542
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Country | US
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Telephone | 559-246-9766
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Fax | 877-818-2250
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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 | CA PSY 20865
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License Number State | CA
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