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General NPI Number Information
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NPI Number | 1285578740
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Entity Type | Organization
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Legal Business Name | PEER SUPPORT NETWORK
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 12191 CUYAMACA COLLEGE DR E UNIT 215
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City | EL CAJON
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State | CA
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Zip | 92019-4333
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Country | US
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Telephone | 619-988-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 308 THRUSH ST
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City | SAN DIEGO
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State | CA
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Zip | 92114-4125
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Country | US
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Telephone | 619-988-6789
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Fax |
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Authorized Official
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Title or Position | COO
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Name | AMY JEFFERS
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Credential | RCFE ADMINISTRATOR
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Telephone | 619-988-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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