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General NPI Number Information
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NPI Number | 1982907424
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Entity Type | Individual
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Provider Name | PAUL KREBS PHD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 3604 4TH AVE STE 5
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City | SAN DIEGO
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State | CA
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Zip | 92103-4118
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Country | US
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Telephone | 646-820-7477
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 LAPEYROUSE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70116-1742
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Country | US
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Telephone | 646-820-7477
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 018694
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY32156
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License Number State | CA
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