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General NPI Number Information
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NPI Number | 1427705045
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Entity Type | Organization
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Legal Business Name | GRAND HEIGHTS INC.
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 13112 HADLEY ST STE 106A
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City | WHITTIER
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State | CA
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Zip | 90601-4583
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Country | US
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Telephone | 562-693-2910
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Fax |
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Provider Business Mailing Address
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Address Line | 7341 E STONE CREEK LN
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City | ANAHEIM
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State | CA
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Zip | 92808-1365
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Country | US
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Telephone | 562-693-2910
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Fax |
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Authorized Official
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Title or Position | THERAPIST / OWNER
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Name | MONTE LANCE GREENSPAN
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Credential | LCSW
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Telephone | 562-693-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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