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General NPI Number Information
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NPI Number | 1295516128
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Entity Type | Organization
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Legal Business Name | AH ADDICTION CARE PC
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 303 TWIN DOLPHIN DRIVE SUITE 600 #6002
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City | REDWOOD CITY
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State | CA
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Zip | 94065-9406
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Country | US
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Telephone | 740-350-3565
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Fax |
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Provider Business Mailing Address
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Address Line | 303 TWIN DOLPHIN DRIVE SUITE 600 #6002
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City | REDWOOD CITY
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State | CA
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Zip | 94065
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, MARKET DEVELOPMENT
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Name | JOSHUA DUSKEY
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Credential |
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Telephone | 740-350-3565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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