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General NPI Number Information
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NPI Number | 1326062225
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Entity Type | Individual
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Provider Name | HENRY R. DRUMMOND PH.D., LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 1666 N MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92701-7417
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Country | US
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Telephone | 562-413-1895
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 PALO VERDE AVE # 127
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City | LONG BEACH
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State | CA
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Zip | 90815-3322
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Country | US
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Telephone | 562-413-1895
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 20938
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 21056
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License Number State | CA
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