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General NPI Number Information
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NPI Number | 1396461901
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Entity Type | Organization
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Legal Business Name | ALTER WELLNESS CARE
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 31642 COAST HWY STE 100
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-7017
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Country | US
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Telephone | 949-877-2419
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Fax |
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Provider Business Mailing Address
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Address Line | 34232 PACIFIC COAST HWY STE B
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City | DANA POINT
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State | CA
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Zip | 92629-3855
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Country | US
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Telephone | 949-877-2419
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Fax | 949-308-7789
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MICHELLE DUENSING
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Credential |
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Telephone | 949-877-2419
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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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