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General NPI Number Information
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NPI Number | 1063024644
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Entity Type | Organization
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Legal Business Name | CROWNVIEW PSYCHIATRIC INSTITUTE
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 1110 CAMINO DEL SOL CIR
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City | CARLSBAD
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State | CA
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Zip | 92008-3509
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Country | US
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Telephone | 760-231-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 158 C AVE
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City | CORONADO
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State | CA
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Zip | 92118-1420
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Country | US
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Telephone | 760-231-1170
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Fax | 760-279-8672
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | STACY MORRIS
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Credential |
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Telephone | 760-231-1170
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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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