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General NPI Number Information
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NPI Number | 1487893392
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Entity Type | Organization
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Legal Business Name | LIFE IN PROGRESS, INC.
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 23193 LA CADENA DR SUITE 104
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1482
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Country | US
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Telephone | 949-380-1573
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Fax | 949-380-1581
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Provider Business Mailing Address
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Address Line | 23193 LA CADENA DR SUITE 104
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1482
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Country | US
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Telephone | 949-380-1573
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Fax | 949-380-1581
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Authorized Official
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Title or Position | MFT
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Name | ANNETTE R SMITH
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Credential | MFT
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Telephone | 949-380-1573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 44477
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License Number State | CA
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