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General NPI Number Information
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NPI Number | 1700183217
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Entity Type | Organization
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Legal Business Name | CARLA NARAGON, MFT
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 1151 DOVE ST SUITE 245
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2840
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Country | US
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Telephone | 714-225-0286
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Fax | 949-852-1500
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Provider Business Mailing Address
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Address Line | 1151 DOVE ST SUITE 245
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2840
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Country | US
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Telephone | 714-225-0286
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Fax | 949-852-1500
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Authorized Official
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Title or Position | OWNER
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Name | CARLA FRANCESCA NARAGON
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Credential | MFT
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Telephone | 714-225-0286
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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 | MFT37509
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License Number State | CA
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