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General NPI Number Information
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NPI Number | 1982899746
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Entity Type | Individual
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Provider Name | SABINE K GAEDT PHD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 74-040 HWY 111 STE J4
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City | PALM DESERT
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State | CA
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Zip | 92260
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Country | US
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Telephone | 760-340-2476
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Fax | 760-340-2476
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Provider Business Mailing Address
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Address Line | PO BOX 1108
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270
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Country | US
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Telephone | 760-340-2476
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Fax | 760-340-2476
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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 | PSY13454
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License Number State | CA
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