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General NPI Number Information
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NPI Number | 1942486345
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Entity Type | Organization
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Legal Business Name | CLEAR WAY SERVICES, INC.
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 3055 W ORANGE AVE STE 206
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City | ANAHEIM
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State | CA
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Zip | 92804-3154
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Country | US
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Telephone | 909-702-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 12420 BAKER AVE
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City | CHINO
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State | CA
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Zip | 91710-2303
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Country | US
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Telephone | 909-702-2068
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEN KAISER
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Credential | LCSW
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Telephone | 909-702-2068
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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 | LCS13358
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License Number State | CA
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