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General NPI Number Information
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NPI Number | 1891975421
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Entity Type | Individual
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Provider Name | ROSALIE RITA HYDOCK PHD
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Gender | Female
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 8149 N HAYDEN ROAD SUITE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 480-292-7435
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Fax | 480-315-6528
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Provider Business Mailing Address
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Address Line | 6929 N HAYDEN RD C-4 #460
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-7978
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Country | US
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Telephone | 480-282-2796
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Fax | 480-775-8866
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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 | 3869
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33319
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License Number State | TX
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