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General NPI Number Information
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NPI Number | 1326732868
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Entity Type | Organization
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Legal Business Name | OPERATION CULTIVATING ACTION - NURTURING NUANCES
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 1343 N GRAND AVE STE 210
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City | COVINA
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State | CA
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Zip | 91724-4043
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Country | US
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Telephone | 626-991-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 1822 E ROUTE 66 # 424
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City | GLENDORA
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State | CA
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Zip | 91740-3801
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Country | US
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Telephone | 626-991-5010
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MELISSA LOUISE EALBA
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Credential | LCSW
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Telephone | 626-991-5010
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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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