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General NPI Number Information
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NPI Number | 1295558930
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Entity Type | Organization
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Legal Business Name | TRANSITIONS - MENTAL HEALTH ASSOCIATION
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 784 HIGH ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-5243
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Country | US
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Telephone | 559-310-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 784 HIGH ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-5243
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Country | US
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Telephone | 559-310-0035
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Fax |
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Authorized Official
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Title or Position | QUALITY ASSURANCE MANAGER
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Name | CHAD KEVER
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Credential | MS
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Telephone | 805-540-6532
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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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