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General NPI Number Information
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NPI Number | 1730688391
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Entity Type | Organization
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Legal Business Name | TOTAL CARE MANAGEMENT SERVICES, INC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 10801 NATIONAL BLVD STE 253
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City | LOS ANGELES
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State | CA
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Zip | 90064-4178
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Country | US
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Telephone | 310-341-9512
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Fax |
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Provider Business Mailing Address
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Address Line | 214 MAIN ST # 272
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City | EL SEGUNDO
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State | CA
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Zip | 90245-3803
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Country | US
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Telephone | 310-341-9512
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Fax | 310-616-3041
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Authorized Official
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Title or Position | CEO
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Name | CHELSEA CANNING
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Credential | LCSW
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Telephone | 310-341-9512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 76411
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 76411
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 76411
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License Number State | CA
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