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General NPI Number Information
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NPI Number | 1417658410
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Entity Type | Organization
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Legal Business Name | KAIZEN PSYCHOTHERAPY, INC.
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/30/2024
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Provider Practice Location Address
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Address Line | 27611 LA PAZ RD STE A6
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-3999
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Country | US
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Telephone | 949-484-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 DOHENY WAY
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City | DANA POINT
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State | CA
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Zip | 92629-5942
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Country | US
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Telephone | 917-297-3515
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DR. LINDA COLE-TAYLOR
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Credential | LCSW, PHD
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Telephone | 949-484-8281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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