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General NPI Number Information
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NPI Number | 1760995260
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Entity Type | Organization
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Legal Business Name | MONROE OPERATIONS LLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3189 PULLMAN ST STE 150
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City | COSTA MESA
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State | CA
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Zip | 92626-3320
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Country | US
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Telephone | 949-205-5997
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Fax | 844-721-8190
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Provider Business Mailing Address
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Address Line | L-3969
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City | COLUMBUS
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State | OH
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Zip | 43260-3969
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Country | US
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Telephone | 714-202-5166
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Fax | 844-721-8190
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Authorized Official
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Title or Position | CHIEF LEGAL & DEVELOPMENT OFFICER
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Name | KEITH THOMPSON
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Credential |
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Telephone | 949-432-4622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 300233DP
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 300233DP
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License Number State | CA
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