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General NPI Number Information
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NPI Number | 1568717718
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Entity Type | Individual
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Provider Name | RICHARD P LAHAYE PHD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 17300 HENDERSON PASS SUITE 260
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1663
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Country | US
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Telephone | 210-908-7573
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Fax | 210-807-8789
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Provider Business Mailing Address
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Address Line | 17300 HENDERSON PASS SUITE 260
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City | SAN ANTONIO
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State | TX
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Zip | 78232-3202
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Country | US
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Telephone | 210-908-7573
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Fax | 210-807-8789
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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