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General NPI Number Information
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NPI Number | 1043132269
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Entity Type | Organization
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Legal Business Name | DOLL FACE CLUB SOBER LIVING INC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1582 LA CORTA ST
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City | LEMON GROVE
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State | CA
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Zip | 91945-4319
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Country | US
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Telephone | 619-578-8503
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Fax |
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Provider Business Mailing Address
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Address Line | 1582 LA CORTA ST
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City | LEMON GROVE
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State | CA
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Zip | 91945-4319
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Country | US
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Telephone | 619-578-8503
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | FLODIA NDOCI
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Credential |
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Telephone | 619-578-8503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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