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General NPI Number Information
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NPI Number | 1205580818
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Entity Type | Organization
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Legal Business Name | JDS CONSULTING, INC.
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 5230 CLARK AVE
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City | LAKEWOOD
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State | CA
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Zip | 90712-2619
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Country | US
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Telephone | 657-231-6200
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Fax | 949-835-4182
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Provider Business Mailing Address
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Address Line | 1651 E 4TH ST STE 218
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City | SANTA ANA
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State | CA
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Zip | 92701-5142
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Country | US
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Telephone | 657-231-6200
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Fax | 949-835-4182
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE MANAGEMENT
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Name | ANNA MARIE LANE
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Credential |
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Telephone | 949-201-7468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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