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General NPI Number Information
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NPI Number | 1285713818
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Entity Type | Organization
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Legal Business Name | THE VILLA CENTER, INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 910 FRENCH ST
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City | SANTA ANA
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State | CA
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Zip | 92701-3720
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Country | US
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Telephone | 714-547-3301
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Fax | 714-547-1249
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Provider Business Mailing Address
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Address Line | 910 FRENCH ST
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City | SANTA ANA
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State | CA
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Zip | 92701-3720
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Country | US
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Telephone | 714-547-3301
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Fax | 714-547-1249
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. LORRAINE MARTINEZ
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Credential |
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Telephone | 714-547-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 300016AN
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License Number State | CA
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