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General NPI Number Information
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NPI Number | 1417598822
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Entity Type | Individual
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Provider Name | ANELA GAIL RICHIE LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 31526 RAILROAD CANYON RD STE 5
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City | CANYON LAKE
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State | CA
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Zip | 92587-9443
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Country | US
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Telephone | 951-585-3357
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Fax | 855-719-3137
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Provider Business Mailing Address
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Address Line | 22663 BUTTERCUP PL
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City | CANYON LAKE
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State | CA
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Zip | 92587-7818
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Country | US
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Telephone | 951-585-3357
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Fax | 855-719-3137
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 115341
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License Number State | CA
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