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General NPI Number Information
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NPI Number | 1215160080
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Entity Type | Organization
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Legal Business Name | PACIFIC HILLS TREATMENT CENTERS, INC
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 9 BRANDT RD
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City | BOERNE
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State | TX
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Zip | 78006-5707
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Country | US
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Telephone | 830-336-2300
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Fax | 830-336-2359
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Provider Business Mailing Address
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Address Line | 32236 PASEO ADELANTO SUITE G
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3609
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Country | US
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Telephone | 949-248-5335
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Fax | 949-248-4275
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | MS. SUSAN KAY SLOAN
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Credential |
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Telephone | 949-248-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 2520-A
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License Number State | TX
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