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General NPI Number Information
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NPI Number | 1356474878
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Entity Type | Organization
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Legal Business Name | THE PRIORITY CENTER ENDING THE GENERATIONAL CYCLE OF TRAUMA INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1932 E DEERE AVE STE 240
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City | SANTA ANA
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State | CA
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Zip | 92705-5716
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Country | US
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Telephone | 714-543-4333
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Fax | 714-543-4398
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Provider Business Mailing Address
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Address Line | 1932 E DEERE AVE STE 240
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City | SANTA ANA
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State | CA
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Zip | 92705-5716
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Country | US
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Telephone | 714-543-4333
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Fax | 714-543-4398
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Authorized Official
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Title or Position | CHIEF PROGRAM OFFICER
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Name | WILLIAM RUSSELL TORNQUIST
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Credential | LMFT
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Telephone | 949-400-3096
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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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Taxonomy #2
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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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