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General NPI Number Information
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NPI Number | 1285385666
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Entity Type | Organization
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Legal Business Name | END THE OCD & ANXIETY CYCLE LLC
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 9536 NIGHTINGALE AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7233
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Country | US
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Telephone | 714-253-4537
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Fax |
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Provider Business Mailing Address
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Address Line | 9536 NIGHTINGALE AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7233
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Country | US
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Telephone | 714-253-4537
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRADLEY THOMAS WILSON
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Credential | LMFT
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Telephone | 714-253-4537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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