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General NPI Number Information
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NPI Number | 1689833113
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Entity Type | Individual
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Provider Name | DAVID RICHARDS
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Gender | Male
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 44349 LOWTREE AVE STE 111
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City | LANCASTER
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State | CA
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Zip | 93534-4104
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Country | US
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Telephone | 661-618-6280
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Fax |
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Provider Business Mailing Address
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Address Line | 37315 DALZELL ST
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City | PALMDALE
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State | CA
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Zip | 93550-6464
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Country | US
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Telephone | 661-618-6280
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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 | 94742
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 108983
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License Number State | CA
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