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General NPI Number Information
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NPI Number | 1447870639
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGEL FAMILY COUNSELING PC
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 12371 LEWIS ST STE 103
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4687
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Country | US
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Telephone | 714-222-4594
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Fax | 657-296-6001
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Provider Business Mailing Address
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Address Line | 21502 BASTIA
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City | MISSION VIEJO
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State | CA
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Zip | 92692-4933
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Country | US
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Telephone | 714-222-4594
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SANDRA LEE TURNER
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Credential | MFT
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Telephone | 714-222-4594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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