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General NPI Number Information
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NPI Number | 1871415331
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Entity Type | Individual
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Provider Name | CHELSEA DE GOEDE LEP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 158 ECHO VALLEY RD
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City | SALINAS
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State | CA
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Zip | 93907-9209
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Country | US
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Telephone | 805-710-7678
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1023
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City | CASTROVILLE
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State | CA
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Zip | 95012-1023
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Country | US
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Telephone | 805-710-7678
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LEP4872
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License Number State | CA
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