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General NPI Number Information
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NPI Number | 1942747845
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Entity Type | Organization
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Legal Business Name | HEALTHCARE RESOURCES, INC.
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 100 S WILSON AVE
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City | PASADENA
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State | CA
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Zip | 91106-3006
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Country | US
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Telephone | 626-345-5866
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Fax | 626-345-5863
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Provider Business Mailing Address
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Address Line | 1114 LA ROSA RD
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City | ARCADIA
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State | CA
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Zip | 91007-6144
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Country | US
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Telephone | 626-345-5866
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Fax | 626-345-5863
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. DANIEL STEVEN LEON
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Credential | L.C.S.W.
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Telephone | 818-388-5497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | LCS14401
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LCS14401
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LCS14401
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | LCS14401
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | LCS14401
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License Number State | CA
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