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General NPI Number Information
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NPI Number | 1568875839
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Entity Type | Organization
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Legal Business Name | WINDSTONE ADDICTION CENTERS, INC
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 1310 W PEARL ST
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City | ANAHEIM
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State | CA
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Zip | 92801-5940
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Country | US
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Telephone | 714-833-5604
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Fax | 714-833-5038
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Provider Business Mailing Address
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Address Line | 151 KALMUS DR SUITE K-1
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City | COSTA MESA
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State | CA
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Zip | 92626-5988
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Country | US
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Telephone | 714-384-3216
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | LAURA MACDONALD
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Credential |
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Telephone | 949-307-7748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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