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General NPI Number Information
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NPI Number | 1881791465
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Entity Type | Individual
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Provider Name | RICHARD DAVID LEPORE MFT
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 9021 MELROSE AVE STE 201A WEST HOLLYWOOD
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City | LOS ANGELES
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State | CA
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Zip | 90069-5691
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Country | US
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Telephone | 310-499-5610
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Fax | 310-499-5610
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Provider Business Mailing Address
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Address Line | 645 WESTMOUNT DR APT 211
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-5173
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Country | US
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Telephone | 323-243-9977
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Fax | 310-499-5610
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC40906
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License Number State | CA
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