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General NPI Number Information
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NPI Number | 1326938739
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Entity Type | Individual
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Provider Name | ALYSON SMITH LEBOW PYSCHOLOGICAL ASSOC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2660 SOLACE PL STE D2
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4337
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Country | US
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Telephone | 424-262-5980
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Fax |
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Provider Business Mailing Address
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Address Line | 4064 MIRALESTE DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-6525
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Country | US
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Telephone | 952-288-6638
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 94028989
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License Number State | CA
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