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General NPI Number Information
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NPI Number | 1427507789
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE ADDICTION AND RECOVERY SERVICES
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1104 LINCOLN AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3245
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Country | US
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Telephone | 415-202-6255
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Fax | 888-206-1376
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Provider Business Mailing Address
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Address Line | PO BOX 2813
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City | SAN ANSELMO
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State | CA
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Zip | 94979-2813
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Country | US
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Telephone | 415-202-6255
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Fax | 888-206-1376
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Authorized Official
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Title or Position | DIRECTOR OF CLIENT SERVICES
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Name | JULIE ANN BIGLIERI
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Credential |
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Telephone | 415-202-6255
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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 | LMFT53885
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License Number State | CA
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