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General NPI Number Information
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NPI Number | 1881817153
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Entity Type | Organization
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Legal Business Name | MARK SCHINDLER, PH.D.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5256 LA JOLLA BLVD
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City | LA JOLLA
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State | CA
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Zip | 92037-8109
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Country | US
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Telephone | 858-454-5588
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Fax | 858-454-5588
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Provider Business Mailing Address
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Address Line | 5256 LA JOLLA BLVD
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City | LA JOLLA
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State | CA
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Zip | 92037-8109
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Country | US
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Telephone | 858-454-5588
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Fax | 858-454-5588
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Authorized Official
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Title or Position | OWNER
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Name | MARK SCHINDLER
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Credential | PH.D.
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Telephone | 858-454-5588
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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 | PSY7815
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License Number State | CA
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