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General NPI Number Information
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NPI Number | 1134857204
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Entity Type | Organization
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Legal Business Name | NORTH COUNTY LIFELINE
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 8324 ALLISON AVE
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City | LA MESA
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State | CA
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Zip | 91942-9307
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Country | US
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Telephone | 619-558-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MICHIGAN AVE
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City | VISTA
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State | CA
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Zip | 92084-5424
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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 | DIRECTOR OF GRANTS & CONTRACTS
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Name | RACHEL MESCHES
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Credential |
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Telephone | 760-842-6251
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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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