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General NPI Number Information
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NPI Number | 1124209911
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Entity Type | Individual
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Provider Name | MARGARET ELIZABETH LUCIIO C.A.S.II
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Gender | Female
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 2091 E VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92027-2743
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Country | US
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Telephone | 760-741-0122
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E 5TH AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-4313
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Country | US
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Telephone | 760-270-4597
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 01-022608
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License Number State | CA
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