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General NPI Number Information
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NPI Number | 1467829374
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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 | 08/26/2015
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 1318 GATEVIEW AVE # TI
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City | SAN FRANCISCO
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State | CA
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Zip | 94130-1418
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Country | US
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Telephone | 415-217-8429
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Fax | 415-399-9943
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Provider Business Mailing Address
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Address Line | 1735 MISSION ST 2050
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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 | 415-762-3700
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Fax | 415-865-0119
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Authorized Official
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Title or Position | CEO
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Name | VITKA EISEN
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Credential |
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Telephone | 415-762-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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