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General NPI Number Information
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NPI Number | 1174289342
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Entity Type | Organization
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Legal Business Name | STILLWATER BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 2016 NAVY ST
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City | SANTA MONICA
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State | CA
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Zip | 90405-5946
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Country | US
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Telephone | 503-791-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 19528 VENTURA BLVD # 383
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City | TARZANA
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State | CA
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Zip | 91356-2917
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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 | CEO
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Name | MR. NICHOLAS MATHEWS
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Credential |
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Telephone | 503-791-3205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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