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General NPI Number Information
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NPI Number | 1457978058
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Entity Type | Organization
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Legal Business Name | REACH BEHAVIORAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 2027 GRAND CANAL BLVD STE 21
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City | STOCKTON
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State | CA
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Zip | 95207-6650
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Country | US
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Telephone | 209-570-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 2027 GRAND CANAL BLVD STE 21
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City | STOCKTON
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State | CA
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Zip | 95207-6650
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | OSCAR BERBER
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Credential | M.S.
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Telephone | 209-570-4263
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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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