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General NPI Number Information
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NPI Number | 1144872169
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Entity Type | Organization
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Legal Business Name | OC CRANIOSACRAL THERAPY INC
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 20422 BEACH BLVD STE 335
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-8300
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Country | US
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Telephone | 949-514-4779
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Fax |
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Provider Business Mailing Address
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Address Line | 20422 BEACH BLVD STE 335
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-8300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL APIDGIAN
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Credential |
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Telephone | 949-514-4779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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