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General NPI Number Information
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NPI Number | 1235340878
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN LUIS OBISPO DRUG AND ALCOHOL SERVICES
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 5575 HOSPITAL DRIVE
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City | ATASCADERO
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State | CA
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Zip | 93422
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Country | US
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Telephone | 805-461-6080
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Fax | 805-461-6114
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Provider Business Mailing Address
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Address Line | 2180 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4558
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Country | US
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Telephone | 805-781-4275
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Fax | 805-781-1227
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Authorized Official
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Title or Position | DIVISION MANAGER
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Name | DR. STARLENE M GRABER
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Credential | PHD, LMFT
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Telephone | 805-781-4759
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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 | 400003BN
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License Number State | CA
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