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General NPI Number Information
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NPI Number | 1396008009
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Entity Type | Organization
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Legal Business Name | CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 122 W GRANGER AVE
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City | MODESTO
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State | CA
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Zip | 95350-4431
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Country | US
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Telephone | 209-544-1500
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Fax | 209-544-1515
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Provider Business Mailing Address
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Address Line | 122 W GRANGER AVE
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City | MODESTO
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State | CA
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Zip | 95350-4431
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Country | US
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Telephone | 209-544-1500
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Fax | 209-544-1515
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Authorized Official
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Title or Position | DIRECTOR OF OUTPATIENT PROGRAM
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Name | MR. ROBERT PAULY
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Credential | CAS, RAS
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Telephone | 209-544-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 500022BP
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License Number State | CA
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