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General NPI Number Information
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NPI Number | 1194544890
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 2215 N BROADWAY FL 1
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City | SANTA ANA
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State | CA
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Zip | 92706-2664
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Country | US
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Telephone | 714-547-5468
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Fax | 714-564-9690
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Provider Business Mailing Address
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Address Line | 2215 N BROADWAY FL 1
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City | SANTA ANA
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State | CA
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Zip | 92706-2664
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Country | US
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Telephone | 714-547-5468
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Fax | 714-564-9690
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Authorized Official
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Title or Position | FOUNDER & EXECUTIVE DIRECTOR
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Name | DR. ANA JIMENEZ-HAMI
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Credential |
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Telephone | 714-547-5468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #10
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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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Taxonomy #11
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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