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General NPI Number Information
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NPI Number | 1194864280
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Entity Type | Organization
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Legal Business Name | UNITY CARE GROUP
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1221 S MAIN ST SUITE 210
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City | SALINAS
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State | CA
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Zip | 93901-2957
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Country | US
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Telephone | 831-757-4525
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Fax |
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Provider Business Mailing Address
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Address Line | 237 RACE ST
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City | SAN JOSE
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State | CA
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Zip | 95126-4823
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Country | US
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Telephone | 408-971-9822
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Fax | 408-971-9820
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Authorized Official
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Title or Position | CLNIICAL DIRECTOR
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Name | MR. DAVID L BECKSTEIN
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Credential | MFT
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Telephone | 831-757-4525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 25325
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License Number State | CA
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