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General NPI Number Information
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NPI Number | 1962930404
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Entity Type | Individual
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Provider Name | SHARON ELIZABETH POWERS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2017
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Last Update Date | 05/29/2017
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Provider Practice Location Address
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Address Line | 28281 CROWN VALLEY PKWY STE 225
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1483
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Country | US
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Telephone | 949-466-2265
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Fax | 949-916-5075
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Provider Business Mailing Address
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Address Line | 25131 DANAPEPPER
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City | DANA POINT
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State | CA
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Zip | 92629-3109
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Country | US
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Telephone | 949-466-2265
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Fax | 949-916-5075
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY19203
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License Number State | CA
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