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General NPI Number Information
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NPI Number | 1144105545
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Entity Type | Organization
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Legal Business Name | CA YA SERVICES LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 195 S PERALTA HILLS DR
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City | ANAHEIM
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State | CA
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Zip | 92807-3424
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Country | US
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Telephone | 714-202-5166
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Fax | 844-721-8190
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Provider Business Mailing Address
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Address Line | L-4054
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City | COLUMBUS
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State | OH
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Zip | 43260-4054
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Country | US
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Telephone | 712-202-5166
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Fax | 866-273-8095
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Authorized Official
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Title or Position | CHIEF LEGAL AND DEVELOPMENT OFFICER
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Name | KEITH THOMPSON
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Credential |
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Telephone | 949-432-4622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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