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General NPI Number Information
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NPI Number | 1881615185
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Entity Type | Individual
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Provider Name | GAIL L. SCHAPER-GORDON PH.D,
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4529 ANGELES CREST HWY SUITE 205
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City | LA CANADA
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State | CA
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Zip | 91011-3247
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Country | US
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Telephone | 818-368-0079
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Fax | 323-344-0008
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Provider Business Mailing Address
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Address Line | 1912 KAWEAH DR
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City | PASADENA
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State | CA
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Zip | 91105-3604
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Country | US
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Telephone | 323-259-9449
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Fax | 323-344-0008
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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 | PSY8898
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License Number State | CA
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