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General NPI Number Information
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NPI Number | 1356488753
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Entity Type | Organization
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Legal Business Name | COUNTY OF ORANGE
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 200 W SANTA ANA BLVD STE 1000
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City | SANTA ANA
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State | CA
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Zip | 92701-7552
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Country | US
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Telephone | 714-480-6767
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Fax | 714-568-4362
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Provider Business Mailing Address
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Address Line | 405 W 5TH ST STE 212
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City | SANTA ANA
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State | CA
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Zip | 92701-4522
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Country | US
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Telephone | 714-568-5614
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Fax | 714-834-6595
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | MS. KELLY KATHLEEN SABET
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Credential | LCSW, CHC, CHPC
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Telephone | 714-581-7769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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