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General NPI Number Information
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NPI Number | 1932986486
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Entity Type | Organization
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Legal Business Name | SHRINKS CORNER INC
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 27611 LA PAZ RD STE A6
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-3999
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Country | US
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Telephone | 949-403-7288
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Fax |
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Provider Business Mailing Address
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Address Line | 350 FOREST AVE UNIT 654
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City | LAGUNA BEACH
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State | CA
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Zip | 92652-2029
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Country | US
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Telephone | 949-403-7288
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | ALEXANDRIA BEKELE
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Credential | ACSW
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Telephone | 949-403-7288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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