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General NPI Number Information
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NPI Number | 1306082797
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Entity Type | Organization
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Legal Business Name | WESTCARE CALIFORNIA, INC.
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 209 N PARK AVE
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City | AVENAL
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State | CA
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Zip | 93204-1425
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Country | US
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Telephone | 559-584-8100
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Fax | 559-585-2008
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Provider Business Mailing Address
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Address Line | 410 E. 7TH ST. SUITE #5, #7, #9
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City | HANFORD
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State | CA
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Zip | 93230-1425
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Country | US
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Telephone | 559-584-8100
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Fax | 559-585-2008
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | MAURICE LEE
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Credential |
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Telephone | 559-251-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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