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General NPI Number Information
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NPI Number | 1891091989
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Entity Type | Organization
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Legal Business Name | SVEN SCHILD, PH.D., PSYCHOLOGIST, INC.
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 210 S JUNIPER ST STE 213
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City | ESCONDIDO
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State | CA
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Zip | 92025-4231
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Country | US
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Telephone | 858-602-2847
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Fax |
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Provider Business Mailing Address
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Address Line | 211 W ROBINSON AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-4019
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Country | US
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Telephone | 858-602-2847
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SVEN SCHILD
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Credential | PH.D.
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Telephone | 858-602-2847
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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 | PSY 22339
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License Number State | CA
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