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General NPI Number Information
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NPI Number | 1316812712
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Entity Type | Organization
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Legal Business Name | EPIC CALIFORNIA ACADEMY
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 100 S ANAHEIM BLVD STE 150
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City | ANAHEIM
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State | CA
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Zip | 92805-3870
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Country | US
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Telephone | 657-220-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S ANAHEIM BLVD STE 150
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City | ANAHEIM
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State | CA
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Zip | 92805-3870
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Country | US
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Telephone | 657-220-1000
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Fax |
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Authorized Official
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Title or Position | CBO/SENIOR DIRECTOR OF BUSINESS OP
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Name | INGRID JOSHUA
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Credential |
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Telephone | 657-799-3220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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