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NPI 1962536318

NPI 1962536318 : GAIUS C. STEINER, INC. A PSYCHOLOGICAL CORPORATION : HACIENDA HEIGHTS, CA

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General NPI Number Information
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    NPI Number           |    1962536318
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    Entity Type          |    Organization 
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    Legal Business Name  |    GAIUS C. STEINER, INC. A PSYCHOLOGICAL CORPORATION 
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Dates
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    Enumeration Date     |    03/16/2007
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    Last Update Date     |    08/26/2010
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Provider Practice Location Address
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    Address Line         |    16977 FLOWER VALE LANE, STE. 104
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    City                 |    HACIENDA HEIGHTS
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    State                |    CA
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    Zip                  |    91745
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    Country              |    US
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    Telephone            |    626-336-1292
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    Fax                  |    626-333-1834
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Provider Business Mailing Address
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    Address Line         |    16977 FLOWER VALE LANE, STE. 104
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    City                 |    HACIENDA HEIGHTS
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    State                |    CA
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    Zip                  |    91745
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    Country              |    US
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    Telephone            |    626-336-1292
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    Fax                  |    626-333-1834
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Authorized Official
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    Title or Position    |    DIRECT OWNER
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    Name                 |    DR. GAIUS C. STEINER 
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    Credential           |    PH.D.
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    Telephone            |    626-336-1292
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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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