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General NPI Number Information
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NPI Number | 1558505065
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Entity Type | Individual
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Provider Name | RICH LE
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Gender | Male
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 12/24/2021
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Provider Practice Location Address
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Address Line | 795 FOLSOM ST FL 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-4226
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 725 KATYDID CT
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City | MARTINEZ
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State | CA
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Zip | 94553-2221
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Country | US
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Telephone | 925-723-2070
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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