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General NPI Number Information
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NPI Number | 1447558226
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Entity Type | Organization
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Legal Business Name | HEALTHRIGHT 360
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 900 MIRAMONTE AVE 2ND FLOOR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2457
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Country | US
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Telephone | 650-965-3323
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Fax | 650-965-0706
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Provider Business Mailing Address
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Address Line | 1735 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2417
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Country | US
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Telephone | 415-762-3712
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Fax | 415-865-0119
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. VITKA EISEN
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Credential |
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Telephone | 415-762-1558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 |
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Taxonomy #3
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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 |
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License Number State |
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