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General NPI Number Information
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NPI Number | 1669021606
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Entity Type | Individual
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Provider Name | MR. ADAM LEHAF
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Gender | Male
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 31897 DEL OBISPO ST STE 250
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3243
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Country | US
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Telephone | 949-216-0903
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Fax |
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Provider Business Mailing Address
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Address Line | 24 MOCKINGBIRD LN
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City | TRABUCO CANYON
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State | CA
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Zip | 92679-5336
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Country | US
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Telephone | 949-742-1140
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 92221
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License Number State | CA
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