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General NPI Number Information
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NPI Number | 1568672640
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Entity Type | Organization
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Legal Business Name | STRAIGHT TALK CLINIC, INC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 13710 LA MIRADA BLVD
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City | LA MIRADA
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State | CA
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Zip | 90638-3028
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Country | US
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Telephone | 562-943-0195
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Fax | 562-943-4015
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Provider Business Mailing Address
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Address Line | 13710 LA MIRADA BLVD
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City | LA MIRADA
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State | CA
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Zip | 90638-3028
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Country | US
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Telephone | 562-943-0195
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Fax | 562-943-4015
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ROBERTA E. CONE
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Credential | PH.D
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Telephone | 714-828-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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