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General NPI Number Information
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NPI Number | 1750232658
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Entity Type | Individual
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Provider Name | CRYSTAL M LEON ASW
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Gender | Female
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 190 SIERRA CT STE C4
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City | PALMDALE
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State | CA
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Zip | 93550-7609
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Country | US
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Telephone | 661-463-0496
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Fax | 661-524-9950
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Provider Business Mailing Address
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Address Line | 7762 RONALD DR APT A
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7538
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW134528
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License Number State | CA
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