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General NPI Number Information
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NPI Number | 1245895192
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Entity Type | Organization
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Legal Business Name | HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 320 N WILSHIRE AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-5825
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Country | US
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Telephone | 714-780-1174
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Fax | 714-388-3697
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Provider Business Mailing Address
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Address Line | 151 KALMUS DR STE K1
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City | COSTA MESA
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State | CA
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Zip | 92626-5975
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Country | US
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Telephone | 714-384-3339
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Fax | 714-384-3879
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Authorized Official
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Title or Position | CEO
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Name | PETER DAVIDSON
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Credential |
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Telephone | 714-384-3339
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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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