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General NPI Number Information
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NPI Number | 1548813041
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Entity Type | Organization
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Legal Business Name | FAMILIES TOGETHER OF ORANGE COUNTY
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 9918 KATELLA AVE STE A-C
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City | ANAHEIM
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State | CA
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Zip | 92804-6465
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Country | US
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Telephone | 714-658-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 661 W 1ST ST STE G
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City | TUSTIN
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State | CA
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Zip | 92780-2939
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Country | US
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Telephone | 714-658-3000
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Fax | 714-665-9891
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Authorized Official
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Title or Position | CEO
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Name | ALEXANDER ROSSEL
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Credential |
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Telephone | 714-665-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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