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General NPI Number Information
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NPI Number | 1316352917
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Entity Type | Organization
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Legal Business Name | NORTH STAR COUNSELING CENTER
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 800 W ELM ST # 6
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City | BISHOP
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State | CA
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Zip | 93514-2524
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Country | US
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Telephone | 760-873-4206
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Fax | 760-873-4206
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Provider Business Mailing Address
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Address Line | 800 W ELM ST # 6
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City | BISHOP
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State | CA
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Zip | 93514-2524
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Country | US
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Telephone | 760-873-4206
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Fax | 760-873-4206
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Authorized Official
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Title or Position | SUPERINTENDENT OF SCHOOLS
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Name | MR. TERRANCE MCATEER
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Credential |
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Telephone | 760-873-3262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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