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General NPI Number Information
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NPI Number | 1922263276
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Entity Type | Individual
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Provider Name | LUCAS ADAM KLEIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 08/03/2013
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Provider Practice Location Address
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Address Line | 731 S HIGHWAY 101 SUITE 1-E
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2629
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Country | US
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Telephone | 619-244-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 731 S HIGHWAY 101 SUITE 1-E
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2629
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Country | US
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Telephone | 619-244-0336
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 003257
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019804
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 25861
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License Number State | CA
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