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General NPI Number Information
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NPI Number | 1669659280
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Entity Type | Organization
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Legal Business Name | ANAHEIM UNION HIGH SCHOOL DISTRICT CHDP CLINIC
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 1800 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-5516
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Country | US
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Telephone | 714-999-0814
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Fax | 714-999-6938
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Provider Business Mailing Address
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Address Line | 1800 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-5516
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Country | US
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Telephone | 714-999-0814
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Fax | 714-999-6938
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Authorized Official
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Title or Position | ASSISTANT SUPERINTENDENT BUSINESS
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Name | MS. DIANNE POOR
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Credential |
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Telephone | 714-999-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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