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General NPI Number Information
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NPI Number | 1578618633
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Entity Type | Individual
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Provider Name | NANCY LACHAPELLE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 24520 HAWTHORNE BLVD STE 208
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City | TORRANCE
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State | CA
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Zip | 90505-6843
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Country | US
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Telephone | 310-375-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 2976 EAST STATE STREET SUITE 120/106
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City | EAGLE
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State | ID
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Zip | 83616
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Country | US
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Telephone | 310-375-4633
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY15307
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY203467
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY15307
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License Number State | CA
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