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General NPI Number Information
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NPI Number | 1346016474
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Entity Type | Organization
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Legal Business Name | CHOICES IN ACTION
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 62 VIA PAMPLONA
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2339
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Country | US
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Telephone | 562-631-1104
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Fax |
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Provider Business Mailing Address
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Address Line | 62 VIA PAMPLONA
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2339
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Country | US
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Telephone | 562-631-1104
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LAFAWN LORRAINE BRITO
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Credential |
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Telephone | 562-631-1104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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