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General NPI Number Information
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NPI Number | 1487588596
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Entity Type | Organization
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Legal Business Name | WELCOME HOME SOBER LIVING FOR WOMEN LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 1948 E 16TH ST
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City | NATIONAL CITY
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State | CA
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Zip | 91950-3735
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Country | US
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Telephone | 619-879-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 MADISON AVE
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City | SAN DIEGO
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State | CA
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Zip | 92116-1146
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Country | US
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Telephone | 619-879-8484
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | MR. JUAN F MICHEL
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Credential |
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Telephone | 619-879-8484
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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 |
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License Number State |
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