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General NPI Number Information
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NPI Number | 1891618047
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Entity Type | Organization
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Legal Business Name | OLIVE COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 328 E COMMONWEALTH AVE
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City | FULLERTON
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State | CA
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Zip | 92832-2017
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Country | US
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Telephone | 714-643-6343
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Fax | 714-248-8331
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Provider Business Mailing Address
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Address Line | 328 E COMMONWEALTH AVE
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City | FULLERTON
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State | CA
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Zip | 92832-2017
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Country | US
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Telephone | 714-643-6343
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Fax | 714-248-8331
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Authorized Official
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Title or Position | CFO
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Name | MUHAMMAD TARIQ MUGHAL
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Credential |
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Telephone | 714-470-9328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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