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General NPI Number Information
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NPI Number | 1922815687
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Entity Type | Individual
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Provider Name | GERIN GASKIN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 4063 BIRCH ST STE 220
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2241
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Country | US
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Telephone | 949-229-5708
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Fax |
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Provider Business Mailing Address
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Address Line | 162 MAR VISTA DR
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City | VISTA
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State | CA
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Zip | 92083-7640
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Country | US
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Telephone | 858-504-8443
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Fax |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-24609
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY36032
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License Number State | CA
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