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General NPI Number Information
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NPI Number | 1821394578
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Entity Type | Organization
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Legal Business Name | WESTERN PACIFIC PSYCHOLOGICAL NETWORK, INC.
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 6345 BALBOA BLVD STE 145
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City | ENCINO
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State | CA
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Zip | 91316-1510
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Country | US
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Telephone | 818-343-1915
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Fax | 818-985-7898
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Provider Business Mailing Address
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Address Line | 6345 BALBOA BLVD STE 145
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City | ENCINO
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State | CA
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Zip | 91316-1510
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Country | US
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Telephone | 818-343-1915
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Fax | 818-985-7898
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JEANINE OROPEZA
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Credential | PSY.D.
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Telephone | 818-343-1918
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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 |
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License Number State |
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