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General NPI Number Information
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NPI Number | 1104155290
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Entity Type | Organization
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Legal Business Name | ILENE BLAISCH
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 161 AVENIDA CABRILLO
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4040
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Country | US
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Telephone | 949-910-5654
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Fax |
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Provider Business Mailing Address
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Address Line | 161 AVENIDA CABRILLO
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4040
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Country | US
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Telephone | 949-910-5654
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. ILENE BLAISCH
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Credential | LCSW
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Telephone | 949-910-5654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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