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General NPI Number Information
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NPI Number | 1629516570
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Entity Type | Individual
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Provider Name | THEA STERLING
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Gender | Female
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 1775 CHESTNUT AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-1674
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Country | US
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Telephone | 562-599-8444
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Fax | 562-591-6134
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Provider Business Mailing Address
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Address Line | 321 N STATE COLLEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806-2915
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Country | US
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Telephone | 714-687-0077
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Fax | 714-780-0240
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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