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General NPI Number Information
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NPI Number | 1578214276
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Entity Type | Organization
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Legal Business Name | HEALING PARTNERS, LICENSED CLINICAL SOCIAL WORKER APC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 20 CORPORATE PARK STE 220
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City | IRVINE
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State | CA
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Zip | 92606-3111
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Country | US
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Telephone | 949-345-0559
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Fax |
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Provider Business Mailing Address
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Address Line | 12082 FIREBRAND ST
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4101
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Country | US
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Telephone | 714-725-9583
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER/CEO
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Name | QUYNH CHI MAI PHAM
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Credential | LCSW
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Telephone | 714-725-9583
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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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