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General NPI Number Information
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NPI Number | 1346463023
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Entity Type | Organization
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Legal Business Name | YOUTHE LIGHT THE MUSIC PATHWAYS ENVIRONMENTS FOR ENERGETIC HEALING LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 17945 TULSA ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4427
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Country | US
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Telephone | 818-219-5713
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Fax | 818-832-8931
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Provider Business Mailing Address
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Address Line | 17945 TULSA ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4427
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Country | US
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Telephone | 818-219-5713
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Fax | 818-832-8931
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE GILBERT LEHMANN
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Credential | PH.D.
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Telephone | 818-219-5713
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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 | PSYCHOLOGY 18029
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License Number State | CA
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