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General NPI Number Information
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NPI Number | 1942529979
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Entity Type | Individual
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Provider Name | ROXANA KAYE ANDREWS PH. D
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 139 HENDERSON ST
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City | ALTURAS
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State | CA
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Zip | 96101-3921
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Country | US
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Telephone | 530-233-7110
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Fax | 530-233-5531
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Provider Business Mailing Address
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Address Line | 139 HENDERSON ST
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City | ALTURAS
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State | CA
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Zip | 96101-3921
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Country | US
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Telephone | 530-233-7110
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Fax | 530-233-5531
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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 | PSY 22167
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License Number State | CA
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