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General NPI Number Information
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NPI Number | 1134969694
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Entity Type | Organization
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Legal Business Name | SOUTH ASIAN BEHAVIORAL HEALTH AND TRAINING CENTER
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 550 N LILLIE AVE STE A
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City | DINUBA
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State | CA
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Zip | 93618-3636
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Country | US
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Telephone | 415-712-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N LILLIE AVE STE A
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City | DINUBA
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State | CA
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Zip | 93618-3636
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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 | CHEIF ADMINSTRATOR OFFICER
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Name | AMANDEEP K BASRA
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Credential | PH.D
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Telephone | 661-903-9555
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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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