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General NPI Number Information
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NPI Number | 1962295816
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Entity Type | Organization
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Legal Business Name | GUARDIAN HEALTH CARE SERVICES
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 10754 EL RUBI CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3841
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Country | US
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Telephone | 714-375-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 BRISTOL ST STE H201
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City | COSTA MESA
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State | CA
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Zip | 92626-7917
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Country | US
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Telephone | 714-375-1110
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE DIRECTOR
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Name | BENJAMIN WOODFORD SMITH
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Credential |
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Telephone | 949-892-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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