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General NPI Number Information
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NPI Number | 1699399899
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Entity Type | Individual
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Provider Name | MR. RICHARD ANTHONY VIEVILLE JR.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 420 E CANAL DR
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City | TURLOCK
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State | CA
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Zip | 95380-3936
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Country | US
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Telephone | 209-669-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 1986 W JEFFERSON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90018-3416
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Country | US
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Telephone | 213-387-7252
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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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 | 140198
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License Number State | CA
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