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General NPI Number Information
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NPI Number | 1043482599
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Entity Type | Individual
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Provider Name | JUSTIN ROBERT MIEIRS C.A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2901 W MACARTHUR BLVD STE 201
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City | SANTA ANA
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State | CA
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Zip | 92704-6972
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Country | US
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Telephone | 714-426-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 W MACARTHUR BLVD STE 201
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City | SANTA ANA
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State | CA
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Zip | 92704-6972
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Country | US
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Telephone | 714-426-6892
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 81568
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License Number State | CA
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