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General NPI Number Information
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NPI Number | 1396803870
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN LUIS OBISPO
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2975 MCMILLAN AVE STE 160
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6768
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Country | US
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Telephone | 805-781-4179
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Fax |
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Provider Business Mailing Address
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Address Line | 2178 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4535
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Country | US
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Telephone | 805-781-4700
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Fax | 805-781-1273
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Authorized Official
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Title or Position | HEALTH AGENCY DIRECTOR
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Name | NICHOLAS DREWS
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Credential |
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Telephone | 805-788-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | CA
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