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NPI 1740177120

NPI 1740177120 : CHANGING OPTIONS SD, INC. : RAMONA, CA

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General NPI Number Information
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    NPI Number           |    1740177120
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHANGING OPTIONS SD, INC. 
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Dates
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    Enumeration Date     |    06/19/2025
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    Last Update Date     |    10/16/2025
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Provider Practice Location Address
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    Address Line         |    500 3RD ST 
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    City                 |    RAMONA
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    State                |    CA
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    Zip                  |    92065-2406
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    Country              |    US
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    Telephone            |    760-278-8883
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    Fax                  |    760-789-3220
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Provider Business Mailing Address
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    Address Line         |    335 N PUENTE ST STE A 
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    City                 |    BREA
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    State                |    CA
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    Zip                  |    92821-5274
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    Country              |    US
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    Telephone            |    760-278-8883
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    Fax                  |    760-789-3220
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |    MR. JAMES  TRAN 
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    Credential           |    
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    Telephone            |    760-278-8883
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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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