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General NPI Number Information
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NPI Number | 1881920064
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Entity Type | Individual
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Provider Name | LENI RICHARDSON VN237400
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Gender | Female
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 2614 TROPICAL AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93313-2205
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Country | US
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Telephone | 661-717-7064
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Fax | 661-321-9856
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Provider Business Mailing Address
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Address Line | 1010 S UNION AVE SUITE ONE HALF
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City | BAKERSFIELD
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State | CA
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Zip | 93307
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Country | US
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Telephone | 661-321-0234
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Fax | 661-321-8256
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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 | VN237400
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License Number State | CA
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