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General NPI Number Information
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NPI Number | 1891984126
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Entity Type | Individual
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Provider Name | LLOYD ALAN WAGER LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 4740 GREEN RIVER RD STE 113A
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City | CORONA
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State | CA
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Zip | 92878-9185
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Country | US
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Telephone | 951-427-6001
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Fax | 951-848-0686
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Provider Business Mailing Address
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Address Line | 11830 VERNON AVE
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City | CHINO
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State | CA
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Zip | 91710-1963
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Country | US
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Telephone | 909-497-0345
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Fax | 951-848-0686
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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 | 50054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CA
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