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General NPI Number Information
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NPI Number | 1710059712
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Entity Type | Organization
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Legal Business Name | ROBERT J BUDIN
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 1500 E KATELLA AVE SUITE H
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City | ORANGE
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State | CA
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Zip | 92867-5008
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Country | US
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Telephone | 714-639-9400
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Fax | 714-771-2980
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Provider Business Mailing Address
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Address Line | 1500 E KATELLA AVE SUITE H
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City | ORANGE
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State | CA
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Zip | 92867-5008
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Country | US
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Telephone | 714-639-9400
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Fax | 714-771-2980
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. ROBERT J BUDIN JR.
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Credential | MA MFT
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Telephone | 714-639-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M12133
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License Number State | CA
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