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General NPI Number Information
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NPI Number | 1760148407
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Entity Type | Organization
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Legal Business Name | NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE - ORANGE COUNTY
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 15300 BARRANCA PKWY STE 150
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City | IRVINE
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State | CA
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Zip | 92618-2257
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Country | US
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Telephone | 949-770-0847
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Fax | 949-770-0848
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Provider Business Mailing Address
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Address Line | 15300 BARRANCA PKWY STE 150
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City | IRVINE
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State | CA
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Zip | 92618-2257
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Country | US
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Telephone | 949-770-0847
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Fax | 949-770-0848
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Authorized Official
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Title or Position | CEO
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Name | PHILLIP FALCETTI
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Credential | MHP
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Telephone | 949-770-0847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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