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General NPI Number Information
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NPI Number | 1407993249
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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 | 01/31/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1920 W CORPORATE WAY
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City | ANAHEIM
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State | CA
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Zip | 92801-5373
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Country | US
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Telephone | 714-667-7610
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Fax | 714-667-7621
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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 | MRS. 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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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