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General NPI Number Information
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NPI Number | 1952882565
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Entity Type | Individual
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Provider Name | ANNA ALICIA POLLARD PHD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3142 VISTA WAY STE 207
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City | OCEANSIDE
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State | CA
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Zip | 92056-3628
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Country | US
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Telephone | 760-400-6082
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Fax |
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Provider Business Mailing Address
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Address Line | 6530 AMBROSIA DR APT 5105
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City | SAN DIEGO
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State | CA
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Zip | 92124-5111
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Country | US
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Telephone | 320-249-8213
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY35428
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License Number State | CA
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