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General NPI Number Information
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NPI Number | 1174120992
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Entity Type | Organization
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Legal Business Name | STARS BEHAVIORAL HEALTH GROUP
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 400 ESTUDILLO AVE STE 100
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4962
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Country | US
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Telephone | 510-924-0548
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ESTUDILLO AVE STE 100
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4962
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Country | US
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Telephone | 510-924-0548
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH SPECIALIST III
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Name | MR. GERALD MICHAEL BEJARIN
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Credential |
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Telephone | 209-221-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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