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General NPI Number Information
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NPI Number | 1548969751
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Entity Type | Organization
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Legal Business Name | CONSCIOUS PUZZLES
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 609 DEEP VALLEY DR # 200-057
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-3629
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Country | US
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Telephone | 424-279-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 E 7TH ST # 338
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City | LONG BEACH
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State | CA
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Zip | 90804-5003
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Country | US
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Telephone | 424-279-3898
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRINCESS OKIEME
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Credential | LCSW
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Telephone | 424-279-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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