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General NPI Number Information
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NPI Number | 1942060173
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHO-ONCOLOGY CARE, A PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 12032 FAIRHOPE RD
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City | SAN DIEGO
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State | CA
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Zip | 92128-2050
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Country | US
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Telephone | 619-333-6764
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Fax |
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Provider Business Mailing Address
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Address Line | 9252 GARDEN GROVE BLVD STE 19
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1436
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Country | US
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Telephone | 619-333-6764
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VERONICA CARDENAS
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Credential | PHD
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Telephone | 619-333-6764
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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 |
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License Number State |
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