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General NPI Number Information
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NPI Number | 1891835401
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Entity Type | Organization
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Legal Business Name | CALVIN HARRAH, PH.D.& MARLENE LAPING, PH.D. A PROFESSIONAL ORGANIZATIO
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 28462 VIA MONDANO
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-6331
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Country | US
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Telephone | 949-493-7452
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Fax | 949-493-3885
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Provider Business Mailing Address
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Address Line | 28462 VIA MONDANO
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-6331
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Country | US
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Telephone | 949-493-7452
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Fax | 949-493-3885
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARLENE LAPING
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Credential | PH.D.
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Telephone | 949-493-7452
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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 | PSY11780
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License Number State | CA
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