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General NPI Number Information
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NPI Number | 1790812147
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Entity Type | Organization
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Legal Business Name | ARBORVIEW PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 01/31/2012
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Provider Practice Location Address
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Address Line | 16152 BEACH BLVD SUITE 179
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647
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Country | US
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Telephone | 714-841-1330
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Fax | 714-841-1316
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Provider Business Mailing Address
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Address Line | PO BOX 10313
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City | WESTMINSTER
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State | CA
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Zip | 92685
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Country | US
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Telephone | 714-841-1330
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Fax | 714-841-1316
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARICHU CARRION WOLMERATH
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Credential | PHD
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Telephone | 714-841-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC20709
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY16356
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License Number State | CA
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