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General NPI Number Information
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NPI Number | 1538610829
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Entity Type | Organization
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Legal Business Name | MISSION BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 1 HOAG DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-514-8279
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOAG DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-514-8279
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLING SPECIALIST
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Name | CHRISTINA RAMIREZ
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Credential |
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Telephone | 909-434-9253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | N5836
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | C52842
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 036-107338
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License Number State | IL
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