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General NPI Number Information
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NPI Number | 1427461136
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Entity Type | Organization
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Legal Business Name | CENTRAL STAR BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4411 E CESAR CHAVEZ BLVD BLDG 319
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City | FRESNO
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State | CA
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Zip | 93702-3604
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Country | US
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Telephone | 408-284-9012
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Fax | 408-284-9050
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Provider Business Mailing Address
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Address Line | 1501 HUGHES WAY SUITE 150
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City | LONG BEACH
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State | CA
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Zip | 90810-1878
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Country | US
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Telephone | 310-221-6336
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Fax | 408-284-9050
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Authorized Official
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Title or Position | PRESIDENT AND CHIEF EXECUTIVE OFFIC
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Name | MR. KENT DUNLAP
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Credential | M.P.H.
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Telephone | 310-221-6336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | TBD
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License Number State | CA
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