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General NPI Number Information
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NPI Number | 1003759481
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Entity Type | Organization
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Legal Business Name | BREAKING STIGMAS TREATMENT OPERATION
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 685 W 18TH ST
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City | SAN PEDRO
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State | CA
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Zip | 90731-5418
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Country | US
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Telephone | 310-365-5761
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Fax |
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Provider Business Mailing Address
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Address Line | 685 W 18TH ST
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City | SAN PEDRO
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State | CA
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Zip | 90731-5418
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Country | US
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Telephone | 310-365-5761
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | TERI RUSHAWN ROGERS
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Credential | PEER SPECIALIST
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Telephone | 310-365-5761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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