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General NPI Number Information
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NPI Number | 1336542737
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Entity Type | Organization
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Legal Business Name | COASTAL TURNING POINT
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 147 S RIVER ST SUITE 234-A
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4551
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Country | US
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Telephone | 831-234-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 147 S RIVER ST SUITE 234-A
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4551
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Country | US
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Telephone | 831-234-2010
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAWN SMITH
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Credential | MFTI
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Telephone | 831-234-2010
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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 | 440018AP
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License Number State | CA
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