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General NPI Number Information
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NPI Number | 1720595911
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Entity Type | Organization
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Legal Business Name | WALK INTUIT INC.
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 27128 PASEO ESPADA STE A1522
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-6708
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Country | US
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Telephone | 323-806-6675
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Fax |
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Provider Business Mailing Address
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Address Line | 27128 PASEO ESPADA STE A1522
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-6708
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Country | US
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Telephone | 323-806-6675
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSICA MATHON
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Credential | LMFT
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Telephone | 213-286-1031
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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 |
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License Number State |
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