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General NPI Number Information
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NPI Number | 1871283101
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Entity Type | Organization
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Legal Business Name | COMPASSION FOR THE MIND
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 211 S STATE COLLEGE BLVD # 1057
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City | ANAHEIM
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State | CA
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Zip | 92806-4116
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Country | US
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Telephone | 661-874-7851
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Fax |
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Provider Business Mailing Address
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Address Line | 211 S STATE COLLEGE BLVD # 1057
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City | ANAHEIM
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State | CA
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Zip | 92806-4116
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Country | US
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Telephone | 661-463-0493
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | NICOLE SEGROVES
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Credential |
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Telephone | 661-874-7851
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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 |
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License Number State |
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