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General NPI Number Information
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NPI Number | 1558546689
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Entity Type | Organization
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Legal Business Name | MARGARITA CALZADILLA-KISHIMOTO
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 1633 E 4TH ST SUITE 184
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City | SANTA ANA
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State | CA
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Zip | 92701-5163
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Country | US
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Telephone | 714-309-9035
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Fax | 714-558-6199
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Provider Business Mailing Address
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Address Line | 1517 W CRIS PL
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City | ANAHEIM
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State | CA
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Zip | 92802-2508
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Country | US
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Telephone | 714-309-9035
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Fax | 714-558-6199
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. MARGARITA CALZADILLA-KISHIMOTO
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Credential | LCSW
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Telephone | 714-309-9035
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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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