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General NPI Number Information
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NPI Number | 1740105592
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Entity Type | Organization
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Legal Business Name | HILLSIDE HORIZON FOR TEENS, LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 23172 PLAZA POINTE DR STE 155
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-0101
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Country | US
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Telephone | 951-441-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 27800 MOUNT SHASTA WAY
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City | YORBA LINDA
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State | CA
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Zip | 92887-4241
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Country | US
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Telephone | 951-441-3133
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NICHOLAS BEETS
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Credential |
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Telephone | 951-441-3133
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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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