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General NPI Number Information
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NPI Number | 1932325347
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Entity Type | Organization
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Legal Business Name | FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1460 E HOLT AVE SUITE # 166
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City | POMONA
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State | CA
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Zip | 91767-5852
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Country | US
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Telephone | 714-680-9000
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Fax | 714-680-8207
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Provider Business Mailing Address
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Address Line | 801 E CHAPMAN AVE SUITE # 203
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City | FULLERTON
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State | CA
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Zip | 92831-3839
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Country | US
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Telephone | 714-680-8257
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Fax | 714-680-8207
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Authorized Official
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Title or Position | CFO
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Name | MR. DANILO PIAMONTE CRUZ JR
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Credential |
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Telephone | 714-680-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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