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General NPI Number Information
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NPI Number | 1962807628
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Entity Type | Organization
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Legal Business Name | TANYA L. HILBER, PSYD
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 3511 CAMINO DEL RIO S. STE 302
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City | SAN DIEGO
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State | CA
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Zip | 92108-4003
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Country | US
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Telephone | 619-630-7793
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Fax | 619-923-2773
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Provider Business Mailing Address
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Address Line | 3511 CAMINO DEL RIO S. STE 302
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City | SAN DIEGO
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State | CA
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Zip | 92108-4003
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Country | US
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Telephone | 619-630-7793
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Fax | 619-923-2773
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Authorized Official
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Title or Position | OWNER/LIC. PSYCHOLOGIST
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Name | DR. TANYA L HILBER
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Credential | PSYD
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Telephone | 619-630-7793
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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 | PSY24479
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License Number State | CA
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