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General NPI Number Information
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NPI Number | 1104720523
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Entity Type | Organization
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Legal Business Name | SOUTH COAST CHILDREN'S SOCIETY, INC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 701 W KIMBERLY AVE STE 120
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City | PLACENTIA
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State | CA
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Zip | 92870-6345
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Country | US
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Telephone | 714-966-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 25910 ACERO STE 160
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2777
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Country | US
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Telephone | 714-966-8666
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELLEN MAE MCGUIRK
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Credential |
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Telephone | 949-244-5757
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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 | NULL
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