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General NPI Number Information
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NPI Number | 1407996002
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Entity Type | Organization
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Legal Business Name | WESTCARE CALIFORNIA INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 611 E BELMONT AVE
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City | FRESNO
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State | CA
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Zip | 93701-1502
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Country | US
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Telephone | 559-251-8400
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Fax | 559-453-6969
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Provider Business Mailing Address
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Address Line | 1900 N GATEWAY BLVD
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City | FRESNO
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State | CA
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Zip | 93727-1622
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Country | US
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Telephone | 559-251-4800
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Fax | 559-453-6969
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Authorized Official
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Title or Position | COO
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Name | SHAWN A JENKINS
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Credential |
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Telephone | 702-385-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 100010IN
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License Number State | CA
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Taxonomy #2
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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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