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General NPI Number Information
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NPI Number | 1316735244
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Entity Type | Organization
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Legal Business Name | NATIONAL PSYCHIATRIC CARE AND REHABILITATION, INC.
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 268 LEWELLING BLVD
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City | ASHLAND
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State | CA
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Zip | 94580-1632
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Country | US
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Telephone | 415-812-2955
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 ZANKER RD STE 106
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City | SAN JOSE
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State | CA
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Zip | 95134-2121
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Country | US
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Telephone | 415-812-2955
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Fax | 408-521-3333
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Authorized Official
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Title or Position | SECRETARY
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Name | ALEX RUDAKOV
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Credential |
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Telephone | 415-812-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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