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General NPI Number Information
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NPI Number | 1265451298
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Entity Type | Organization
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Legal Business Name | LUCRETIA A. REED
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16052 BEACH BLVD #228
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3801
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Country | US
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Telephone | 714-841-3465
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Fax | 714-841-1882
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Provider Business Mailing Address
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Address Line | 16052 BEACH BLVD #228
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3801
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Country | US
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Telephone | 714-841-3465
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Fax | 714-841-1882
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Authorized Official
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Title or Position | OWNER
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Name | LUCRETIA ANNTOINETTE REED
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Credential | M.D.
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Telephone | 714-841-3465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G41157
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G41157
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License Number State | CA
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