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Individual
JOHN C PIACENTINI
Active
Individual
JOHN C PIACENTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY14483
CA
103TC0700X
Clinical Psychologist
Primary
PSY14483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY144830
MEDICAL
CA
Enumeration date
08/25/2006
Last updated
02/06/2015
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