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General NPI Number Information
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NPI Number | 1144005042
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Entity Type | Individual
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Provider Name | NICHOLAS TURNER CADC-II
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 2810 CAMINO DEL RIO S STE 106
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City | SAN DIEGO
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State | CA
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Zip | 92108-3819
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Country | US
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Telephone | 619-458-3435
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Fax |
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Provider Business Mailing Address
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Address Line | 140 PACIFIC AVE
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City | SOLANA BEACH
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State | CA
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Zip | 92075-1157
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Country | US
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Telephone | 323-610-9942
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A062670523
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License Number State | CA
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