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General NPI Number Information
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NPI Number | 1265381693
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Entity Type | Individual
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Provider Name | CHRISTY SUH LEP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1150 FOOTHILL BLVD STE L
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City | LA CANADA
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State | CA
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Zip | 91011-3271
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Country | US
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Telephone | 818-254-8803
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1395
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City | LA CANADA
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State | CA
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Zip | 91012-5395
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Country | US
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Telephone | 818-254-8803
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | LEP3576
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License Number State | CA
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