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General NPI Number Information
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NPI Number | 1174238943
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Entity Type | Organization
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Legal Business Name | NATE'S PLACE, A WELLNESS AND RECOVERY CENTER
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 3840 W CHANNEL ISLANDS BLVD
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City | OXNARD
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State | CA
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Zip | 93035-4001
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Country | US
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Telephone | 805-628-2552
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Fax |
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Provider Business Mailing Address
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Address Line | 3840 W CHANNEL ISLANDS BLVD
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City | OXNARD
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State | CA
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Zip | 93035-4001
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Country | US
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Telephone | 805-628-2552
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | HEIDI SUSANNE ALLISON
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Credential | LCSW
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Telephone | 562-449-7298
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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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