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General NPI Number Information
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NPI Number | 1770791113
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Entity Type | Organization
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Legal Business Name | JC & DC INCORPORATED
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23441 S POINTE DR STE 180
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1550
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Country | US
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Telephone | 949-452-9294
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Fax | 949-452-0296
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Provider Business Mailing Address
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Address Line | 23441 S POINTE DR STE 180
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1550
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Country | US
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Telephone | 949-452-9294
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Fax | 949-452-0296
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID GEORGE CONGO
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Credential | PSY.D.
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Telephone | 949-452-9294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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