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General NPI Number Information
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NPI Number | 1245141910
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Entity Type | Organization
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Legal Business Name | JONAH-CA2 LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1261 61ST ST
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City | EMERYVILLE
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State | CA
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Zip | 94608-2132
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Country | US
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Telephone | 323-283-1040
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 3RD ST STE 305
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-1407
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Country | US
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Telephone | 323-282-1040
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CAROLYN RONIECE LEVIAS
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Credential |
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Telephone | 323-283-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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