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General NPI Number Information
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NPI Number | 1922389576
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Entity Type | Organization
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Legal Business Name | COUNCIL ON AGING - ORANGE COUNTY
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 1971 E 4TH ST STE 200
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City | SANTA ANA
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State | CA
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Zip | 92705-3917
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Country | US
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Telephone | 714-479-0107
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Fax | 714-479-0234
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Provider Business Mailing Address
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Address Line | 1971 E 4TH ST STE 200
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City | SANTA ANA
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State | CA
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Zip | 92705-3917
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Country | US
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Telephone | 714-479-0107
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Fax | 714-479-0234
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. CHERYL MERONK
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Credential |
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Telephone | 714-479-0107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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