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General NPI Number Information
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NPI Number | 1972081651
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Entity Type | Organization
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Legal Business Name | OC CARE CENTERS, INC.
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 127 N QUEENSBURY ST
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City | ANAHEIM
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State | CA
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Zip | 92806-3814
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Country | US
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Telephone | 714-633-4130
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 E KATELLA AVE STE N
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City | ORANGE
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State | CA
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Zip | 92867-6301
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Country | US
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Telephone | 714-633-4130
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN MICHAEL HARRIS
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Credential |
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Telephone | 714-396-8847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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