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General NPI Number Information
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NPI Number | 1093682098
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Entity Type | Organization
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Legal Business Name | NORTHERN CALIFORNIA ADOLESCENT SPECIALTY CENTER
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 418 SUMMIT RD
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City | WALNUT CREEK
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State | CA
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Zip | 94598-4734
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Country | US
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Telephone | 925-891-3272
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Fax | 925-891-3356
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Provider Business Mailing Address
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Address Line | 712 BANCROFT RD # 231
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1531
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Country | US
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Telephone | 925-891-3272
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Fax | 925-891-3356
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VERONIKA MESHERIAKOVA
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Credential | MD
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Telephone | 925-952-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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