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General NPI Number Information
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NPI Number | 1831239672
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Entity Type | Individual
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Provider Name | RAMONA L SZCZERBA ED.M, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2760 5TH AVE SUITE 205
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City | SAN DIEGO
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State | CA
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Zip | 92103-6325
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Country | US
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Telephone | 619-999-4138
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Fax |
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Provider Business Mailing Address
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Address Line | 3687 CACTUSVIEW DR
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City | SAN DIEGO
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State | CA
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Zip | 92105-5914
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Country | US
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Telephone | 619-795-6777
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY16146
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License Number State | CA
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