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General NPI Number Information
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NPI Number | 1881170165
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Entity Type | Organization
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Legal Business Name | WILLIAM J DESS, PH.D. CLINICAL PSYCHOLOGY A PROF CORP.
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 741 GARDEN VIEW CT. SUITE 211
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City | ENCINITAS
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State | CA
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Zip | 92024-2472
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Country | US
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Telephone | 760-479-0557
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Fax | 760-479-0781
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Provider Business Mailing Address
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Address Line | 741 GARDEN VIEW CT SUITE 211
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City | ENCINITAS
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State | CA
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Zip | 92024-2472
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Country | US
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Telephone | 760-479-0557
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Fax | 760-479-0781
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Authorized Official
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Title or Position | PSYCHOLOGIST/PRESIDENT
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Name | DR. WILLIAM JOHN DESS
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Credential | PH.D.
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Telephone | 760-533-2225
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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 | PSY5035
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License Number State | CA
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