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General NPI Number Information
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NPI Number | 1467321935
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Entity Type | Individual
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Provider Name | MISTY MAY LETHBRIDGE
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 2720 E PALMDALE BLVD STE 130131
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City | PALMDALE
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State | CA
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Zip | 93550-4930
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Country | US
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Telephone | 661-947-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 10246 E AVENUE S4
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City | LITTLEROCK
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State | CA
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Zip | 93543-2015
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CI48280725
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License Number State | CA
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