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General NPI Number Information
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NPI Number | 1912976408
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO COUNTIES, INC.
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 700 S TUSTIN ST
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City | ORANGE
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State | CA
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Zip | 92866-3425
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Country | US
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Telephone | 714-633-6373
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Fax | 714-532-2929
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Provider Business Mailing Address
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Address Line | 801 E KATELLA AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-6614
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Country | US
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Telephone | 714-633-3736
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Fax | 714-532-2929
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | JESSICA CHINEN
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Credential |
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Telephone | 714-633-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 060000509
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 060000509
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 060000509
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License Number State | CA
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