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General NPI Number Information
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NPI Number | 1922457340
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Entity Type | Organization
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Legal Business Name | EVELIN GARCIA PSY.D. A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 20832 ROSCOE BLVD. STE.202
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City | WINNETKA
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State | CA
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Zip | 91306
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Country | US
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Telephone | 818-219-0637
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Fax | 818-659-7273
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Provider Business Mailing Address
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Address Line | 20360 GILMORE ST
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City | WINNETKA
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State | CA
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Zip | 91306-4214
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Country | US
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Telephone | 818-219-0637
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Fax | 818-659-7273
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Authorized Official
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Title or Position | OWNER
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Name | DR. EVELIN U. GARCIA
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Credential | PSY.D.
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Telephone | 818-219-0637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY21515
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License Number State | CA
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