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General NPI Number Information
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NPI Number | 1811303688
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Entity Type | Organization
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Legal Business Name | SUNTELEO CENTER, INC.
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 57402 29 PALMS HWY SUITE 10
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2950
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Country | US
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Telephone | 760-418-5997
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Fax | 760-820-1094
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Provider Business Mailing Address
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Address Line | 57402 29 PALMS HWY SUITE 10
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2950
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Country | US
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Telephone | 760-418-5997
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Fax | 760-820-1094
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT NEAL KARMAN
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Credential | PH.D.
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Telephone | 760-418-5997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY9274
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License Number State | CA
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