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General NPI Number Information
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NPI Number | 1912836065
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Entity Type | Individual
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Provider Name | LINDSEY GRUDT
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Gender |
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 4111 LAS VIRGENES RD
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City | CALABASAS
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State | CA
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Zip | 91302-1886
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Country | US
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Telephone | 818-880-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 4111 LAS VIRGENES RD
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City | CALABASAS
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State | CA
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Zip | 91302-1886
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Country | US
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Telephone | 818-880-4000
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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