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General NPI Number Information
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NPI Number | 1487290094
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Entity Type | Organization
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Legal Business Name | HOLISTIC MENTAL HEALTH
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 1801 PARK COURT PL STE F201
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City | SANTA ANA
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State | CA
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Zip | 92701-5031
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Country | US
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Telephone | 714-478-4415
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Fax | 949-203-2220
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Provider Business Mailing Address
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Address Line | 61 CANAL
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City | IRVINE
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State | CA
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Zip | 92620-2800
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Country | US
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Telephone | 714-478-4415
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Fax | 949-203-2220
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | NADIA TORRES-EATON
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Credential | PSYCHOLOGIST
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Telephone | 714-478-4415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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