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General NPI Number Information
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NPI Number | 1659076156
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Entity Type | Individual
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Provider Name | DAVID LEWIS MCCORD LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 4700 ENTERPRISE WAY
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City | MODESTO
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State | CA
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Zip | 95356
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Country | US
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Telephone | 185-526-8409
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 GEER RD # 187
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City | TURLOCK
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State | CA
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Zip | 95382-1142
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Country | US
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Telephone | 209-585-3509
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT155595
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC13828
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License Number State | CA
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