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General NPI Number Information
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NPI Number | 1376921379
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Entity Type | Individual
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Provider Name | CARA MCEACHIN LEP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 41856 IVY STREET SUITE 205
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City | MURRIETA
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State | CA
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Zip | 92562
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Country | US
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Telephone | 951-396-5701
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Fax |
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Provider Business Mailing Address
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Address Line | 1148 MASTEPEICE DRIVE
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City | OCEANSIDE
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State | CA
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Zip | 92057
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Country | US
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Telephone | 540-521-3972
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4268
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License Number State | CA
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