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General NPI Number Information
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NPI Number | 1184330128
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Entity Type | Organization
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Legal Business Name | SAFER ALTERNATIVES THRU NETWORKING AND EDUCATION
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 02/18/2023
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Provider Practice Location Address
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Address Line | 2211 DEL PASO BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95815-3101
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Country | US
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Telephone | 916-665-8226
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Fax | 916-404-4208
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Provider Business Mailing Address
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Address Line | 2211 DEL PASO BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95815-3101
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Country | US
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Telephone | 916-665-8226
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Fax | 916-404-4208
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PHILLIP JARED SUMMERS
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Credential | MD MPH
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Telephone | 209-559-2281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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