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General NPI Number Information
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NPI Number | 1528855707
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Entity Type | Organization
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Legal Business Name | CLEAR MINDS NEW HORIZONS
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1801 W VALLEY BLVD STE 201
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City | ALHAMBRA
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State | CA
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Zip | 91803-2300
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Country | US
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Telephone | 626-313-0176
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Fax | 626-988-0288
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Provider Business Mailing Address
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Address Line | 1801 W VALLEY BLVD STE 201
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City | ALHAMBRA
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State | CA
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Zip | 91803-2300
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Country | US
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Telephone | 626-313-0176
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Fax | 626-988-0288
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Authorized Official
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Title or Position | OWNER
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Name | SANDY ALCANTAR
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Credential |
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Telephone | 626-313-0176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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