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General NPI Number Information
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NPI Number | 1326934167
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Entity Type | Organization
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Legal Business Name | THE ALLIANCE FOR COMMUNITY WELLNESS
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 445 W WEBER AVE SUITE 128C
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City | STOCKTON
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State | CA
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Zip | 95203-3146
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Country | US
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Telephone | 209-265-3149
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Fax |
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Provider Business Mailing Address
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Address Line | 865 GEER RD
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City | TURLOCK
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State | CA
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Zip | 95380-3311
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Country | US
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Telephone | 209-633-3057
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FACILITIES AND OPS
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Name | VICKY ELIZABETH SALVATIER
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Credential |
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Telephone | 510-300-3516
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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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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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