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NPI 1427348010

NPI 1427348010 : OC-PSYCHIATRIST INC. : MISSION VIEJO, CA

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General NPI Number Information
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    NPI Number           |    1427348010
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    Entity Type          |    Organization 
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    Legal Business Name  |    OC-PSYCHIATRIST INC. 
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Dates
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    Enumeration Date     |    04/15/2011
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    Last Update Date     |    04/15/2011
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Provider Practice Location Address
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    Address Line         |    26932 OSO PKWY #200
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92691-5815
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    Country              |    US
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    Telephone            |    949-701-1528
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    Fax                  |    949-348-9626
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Provider Business Mailing Address
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    Address Line         |    26932 OSO PKWY #200
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92691-5815
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    Country              |    US
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    Telephone            |    949-701-1528
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    Fax                  |    949-348-9626
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ANDREW DAVID MORROW 
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    Credential           |    M.D.
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    Telephone            |    949-701-1528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    A93990
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    License Number State |    CA
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