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General NPI Number Information
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NPI Number | 1396544334
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Entity Type | Organization
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Legal Business Name | MOHAWA BEHAVIORAL HEALTH APC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 3031 W MARCH LN STE 134
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City | STOCKTON
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State | CA
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Zip | 95219-6578
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Country | US
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Telephone | 408-610-2040
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Fax | 408-380-2170
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Provider Business Mailing Address
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Address Line | 3031 W MARCH LN STE 134
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City | STOCKTON
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State | CA
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Zip | 95219-6578
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Country | US
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Telephone | 408-610-2040
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | NAVMOON SINGH MANN
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Credential | M.D.
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Telephone | 408-610-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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