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General NPI Number Information
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NPI Number | 1801468012
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Entity Type | Organization
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Legal Business Name | ROULA CREIGHTON MD, INC
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 19200 VON KARMAN AVE STE 350
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City | IRVINE
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State | CA
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Zip | 92612-8509
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Country | US
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Telephone | 949-202-7566
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Fax | 949-437-3428
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Provider Business Mailing Address
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Address Line | 19200 VON KARMAN AVE STE 350
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City | IRVINE
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State | CA
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Zip | 92612-8509
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Country | US
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Telephone | 949-202-7566
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Fax | 949-437-3428
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Authorized Official
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Title or Position | PRESIDENY
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Name | ROULA CREIGHTON
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Credential | MD
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Telephone | 949-202-7566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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