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General NPI Number Information
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NPI Number | 1326930702
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Entity Type | Organization
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Legal Business Name | WE LOVE OUR CITY
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 810 VACA VALLEY PKWY STE 12050
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City | VACAVILLE
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State | CA
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Zip | 95688-8835
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Country | US
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Telephone | 707-637-6582
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Fax |
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Provider Business Mailing Address
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Address Line | 810 VACA VALLEY PKWY STE 12050
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City | VACAVILLE
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State | CA
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Zip | 95688-8835
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Country | US
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Telephone | 707-637-6582
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RAYMOND BEATY
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Credential |
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Telephone | 707-637-6582
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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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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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