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General NPI Number Information
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NPI Number | 1407212582
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Entity Type | Organization
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Legal Business Name | NAIKAN COUNSELING CENTER
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 3319B MISSION DRIVE
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City | SANTA CRUZ
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State | CA
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Zip | 95065
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Country | US
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Telephone | 831-392-7064
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Fax | 831-621-5440
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Provider Business Mailing Address
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Address Line | PO BOX 2674
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City | APTOS
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State | CA
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Zip | 95001
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Country | US
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Telephone | 831-392-7064
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Fax | 831-621-5440
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | NATHAN WEINSTEIN
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Credential | MA
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Telephone | 831-392-7064
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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 | MFC 48570
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License Number State | CA
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Taxonomy #2
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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 | CA
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