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General NPI Number Information
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NPI Number | 1063213155
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Entity Type | Organization
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Legal Business Name | REARRANGE THE STATE OF MIND FAMILY THERAPY
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 5252 BALBOA AVE STE 500
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City | SAN DIEGO
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State | CA
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Zip | 92117-6935
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Country | US
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Telephone | 858-923-5482
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Fax |
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Provider Business Mailing Address
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Address Line | 16751 SANTANELLA ST
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City | SAN DIEGO
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State | CA
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Zip | 92127-3307
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Country | US
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Telephone | 408-828-3683
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEE HSIN CHOU
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Credential |
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Telephone | 858-923-5482
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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 |
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License Number State |
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