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General NPI Number Information
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NPI Number | 1922174598
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Entity Type | Individual
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Provider Name | PAT ANNE MANN M.A.
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 31882 CAMINO CAPISTRANO #108
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3222
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Country | US
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Telephone | 949-330-1642
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Fax |
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Provider Business Mailing Address
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Address Line | 2 POST ST
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City | LADERA RANCH
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State | CA
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Zip | 92694-0413
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Country | US
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Telephone | 949-388-7335
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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