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General NPI Number Information
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NPI Number | 1508090663
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HISPANIC COMMISSION, INC.
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 1905 COLLEGE AVE
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City | SANTA ANA
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State | CA
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Zip | 92706-2334
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Country | US
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Telephone | 714-479-0120
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Fax | 714-479-0153
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Provider Business Mailing Address
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Address Line | 1905 COLLEGE AVE
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City | SANTA ANA
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State | CA
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Zip | 92706-2334
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Country | US
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Telephone | 714-479-0120
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Fax | 714-479-0153
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MRS. ELIZABETH BORJA
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Credential |
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Telephone | 714-479-0120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 30001DN
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License Number State | CA
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