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NPI 1073806667

NPI 1073806667 : ASIAN AMERICAN RECOVERY SERVICES, INC. : MOUNTAIN VIEW, CA

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General NPI Number Information
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    NPI Number           |    1073806667
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASIAN AMERICAN RECOVERY SERVICES, INC. 
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Dates
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    Enumeration Date     |    05/16/2011
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    Last Update Date     |    01/15/2014
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Provider Practice Location Address
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    Address Line         |    3535 TRUMAN AVE 
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    City                 |    MOUNTAIN VIEW
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    State                |    CA
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    Zip                  |    94040-4559
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    Country              |    US
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    Telephone            |    650-940-4600
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    Fax                  |    650-961-6349
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Provider Business Mailing Address
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    Address Line         |    1735 MISSION ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94103-2417
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    Country              |    US
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    Telephone            |    415-762-3712
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    Fax                  |    415-865-0119
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Authorized Official
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    Title or Position    |    INTERIM EXECUTIVE DIRECTOR
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    Name                 |    MS. VITK  EISEN 
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    Credential           |    
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    Telephone            |    415-762-1558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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