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NPI 1366046393

NPI 1366046393 : MEIER CLINICS OF CALIFORNIA, INC. : LAGUNA HILLS, CA

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General NPI Number Information
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    NPI Number           |    1366046393
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEIER CLINICS OF CALIFORNIA, INC. 
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Dates
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    Enumeration Date     |    11/30/2020
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    Last Update Date     |    11/30/2020
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Provider Practice Location Address
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    Address Line         |    23046 AVENIDA DE LA CARLOTA STE 660B 
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    City                 |    LAGUNA HILLS
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    State                |    CA
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    Zip                  |    92653-1537
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    Country              |    US
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    Telephone            |    949-454-9016
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2100 MANCHESTER RD STE 1510 
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    City                 |    WHEATON
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    State                |    IL
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    Zip                  |    60187-4561
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    Country              |    US
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    Telephone            |    630-653-1717
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NATIONAL DIRECTOR OF MANAGED CARE
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    Name                 |     BREE  WEISS 
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    Credential           |    
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    Telephone            |    630-653-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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