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General NPI Number Information
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NPI Number | 1326123811
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Entity Type | Organization
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Legal Business Name | DMH LA COUN TY
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 349 E AVENUE K6
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City | LANCASTER
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State | CA
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Zip | 93535-4508
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Country | US
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Telephone | 661-723-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 349 A EAST AVE K6
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City | LANCASTER
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State | CA
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Zip | 93535
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Country | US
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Telephone | 661-723-4260
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Fax |
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Authorized Official
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Title or Position | SENIOR COMMUNITY WORKER 1
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Name | CRAIG A COOK
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Credential |
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Telephone | 661-723-4260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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