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General NPI Number Information
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NPI Number | 1134013857
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Entity Type | Organization
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Legal Business Name | SOBER PATH HOMES LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 3816 S COTTA ST
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City | VISALIA
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State | CA
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Zip | 93292-3464
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Country | US
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Telephone | 833-939-6159
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Fax |
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Provider Business Mailing Address
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Address Line | 99 ALMADEN BLVD STE 600
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City | SAN JOSE
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State | CA
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Zip | 95113-1605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | GRACE KOZ
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Credential |
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Telephone | 408-898-8791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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