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General NPI Number Information
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NPI Number | 1346897808
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Entity Type | Organization
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Legal Business Name | ALLCOAST COMPREHENSIVE THERAPIES LICENSED CLINICAL SOCIAL WORKER CORP
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 17595 ALMAHURST ST STE 100A
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1792
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Country | US
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Telephone | 714-720-7255
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Fax |
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Provider Business Mailing Address
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Address Line | 17595 ALMAHURST ST STE 100A
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1792
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Country | US
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Telephone | 714-720-7255
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Fax | 626-965-8300
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY ANN ALINAS
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Credential | LCSW
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Telephone | 714-720-7255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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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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