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NPI 1417746066

NPI 1417746066 : KATHERINE TODD LEP : OROVILLE, CA

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General NPI Number Information
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    NPI Number           |    1417746066
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE TODD LEP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2025
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    400 GRAND AVE 
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    City                 |    OROVILLE
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    State                |    CA
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    Zip                  |    95965-4007
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    Country              |    US
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    Telephone            |    530-538-2900
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    Fax                  |    530-538-2909
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Provider Business Mailing Address
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    Address Line         |    400 GRAND AVE 
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    City                 |    OROVILLE
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    State                |    CA
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    Zip                  |    95965-4007
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    Country              |    US
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    Telephone            |    530-538-2900
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    Fax                  |    530-538-2909
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    2811
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    License Number State |    CA
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