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General NPI Number Information
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NPI Number | 1205908878
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Entity Type | Individual
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Provider Name | MR. RICHARD PETER CARO II
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 21445 CENTRE POINTE PKWY
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City | SANTA CLARITA
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State | CA
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Zip | 91350-2684
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Country | US
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Telephone | 661-259-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 7TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90405-4414
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Country | US
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Telephone | 310-428-8488
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC 248
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 50497
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32504
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License Number State | CA
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