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General NPI Number Information
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NPI Number | 1851839476
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY DEPRESSION & ANXIETY FAMILY THERAPY
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 505 S VILLA REAL 117
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City | ANAHEIM
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State | CA
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Zip | 92807-3445
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Country | US
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Telephone | 657-236-4411
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Fax | 657-236-4747
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Provider Business Mailing Address
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Address Line | 505 S VILLA REAL 117
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City | ANAHEIM
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State | CA
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Zip | 92807-3445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANET FRANCIS-CISNEROS
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Credential | LMFT
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Telephone | 657-236-4411
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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 | LMFT51542
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License Number State | CA
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