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General NPI Number Information
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NPI Number | 1225582828
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Entity Type | Organization
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Legal Business Name | ABACUS GUIDANCE CENTER INC
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 312 N ALLEN AVE
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City | PASADENA
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State | CA
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Zip | 91106-1604
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Country | US
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Telephone | 626-241-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 312 N ALLEN AVE
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City | PASADENA
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State | CA
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Zip | 91106-1604
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Country | US
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Telephone | 626-241-9280
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARLO STEPANIANS
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Credential |
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Telephone | 626-241-9280
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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 | 190897AP
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License Number State | CA
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