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General NPI Number Information
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NPI Number | 1952448375
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Entity Type | Organization
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Legal Business Name | THE GARY CENTER
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 11/11/2015
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Provider Practice Location Address
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Address Line | 341 HILLCREST ST
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City | LA HABRA
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State | CA
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Zip | 90631-5340
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Country | US
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Telephone | 562-691-3263
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Fax | 562-690-5063
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Provider Business Mailing Address
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Address Line | 341 HILLCREST ST
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City | LA HABRA
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State | CA
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Zip | 90631-5340
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Country | US
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Telephone | 562-691-3263
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Fax | 562-690-5063
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PAMELA AUSTIN
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Credential | MSW
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Telephone | 562-691-3263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 060000020
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License Number State | CA
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