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General NPI Number Information
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NPI Number | 1811452733
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Entity Type | Individual
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Provider Name | LUCIA LEON
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Gender | Female
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 18646 OXNARD ST
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City | TARZANA
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State | CA
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Zip | 91356-1411
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Country | US
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Telephone | 818-996-1051
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Fax | 818-345-3778
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Provider Business Mailing Address
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Address Line | 6800 OWENSMOUTH AVE STE 160
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City | CANOGA PARK
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State | CA
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Zip | 91303-4255
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Country | US
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Telephone | 213-760-1065
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CICA00301218
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License Number State | CA
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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 |
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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