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General NPI Number Information
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NPI Number | 1821142373
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Entity Type | Individual
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Provider Name | ROULA CREIGHTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 19200 VON KARMAN AVE STE 350
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City | IRVINE
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State | CA
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Zip | 92612-8509
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Country | US
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Telephone | 949-202-7566
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Fax | 949-437-3428
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Provider Business Mailing Address
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Address Line | 19200 VON KARMAN AVE STE 350
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City | IRVINE
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State | CA
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Zip | 92612-8509
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Country | US
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Telephone | 949-202-7566
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Fax | 949-437-3428
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A95376
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License Number State | CA
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