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General NPI Number Information
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NPI Number | 1992031231
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Entity Type | Individual
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Provider Name | BARBARA E. BISIO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 9820 WILLOW CREEK RD STE 245
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City | SAN DIEGO
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State | CA
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Zip | 92131-1116
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Country | US
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Telephone | 858-314-8262
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 504464
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City | SAN DIEGO
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State | CA
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Zip | 92150-4464
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Country | US
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Telephone | 588-314-8262
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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 | PSY22549
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22549
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License Number State | CA
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