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General NPI Number Information
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NPI Number | 1801723929
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Entity Type | Individual
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Provider Name | CELESTE LAU RICHARDS
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 22362 GILBERTO STE 100
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2187
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Country | US
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Telephone | 949-459-1658
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Fax |
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Provider Business Mailing Address
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Address Line | 2286 PACIFIC AVE APT E
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City | COSTA MESA
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State | CA
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Zip | 92627-4825
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Country | US
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Telephone | 562-355-6072
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 25544
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License Number State | CA
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