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General NPI Number Information
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NPI Number | 1750587325
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Entity Type | Individual
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Provider Name | EDITH RICHMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 780 SHADOWRIDGE DR DEPT. OF PSYCHIATRY
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City | VISTA
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State | CA
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Zip | 92083-7986
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Country | US
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Telephone | 760-599-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 AHLRICH AVE
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City | ENCINITAS
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State | CA
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Zip | 92024-4025
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Country | US
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Telephone | 760-632-7590
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Fax | 760-599-2399
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17855
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License Number State | CA
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