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General NPI Number Information
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NPI Number | 1003427337
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Entity Type | Organization
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Legal Business Name | RESTORATIVE PARTNERS, INC.
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 3196 S HIGUERA ST STE D
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2022
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Country | US
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Telephone | 805-242-1272
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Fax |
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Provider Business Mailing Address
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Address Line | 3196 S HIGUERA ST STE D
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2022
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Country | US
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Telephone | 805-242-1272
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | THERESA HARPIN
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Credential |
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Telephone | 805-242-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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Taxonomy #2
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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 |
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License Number State |
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