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General NPI Number Information
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NPI Number | 1497634976
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Entity Type | Organization
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Legal Business Name | FORMERLY INCARCERATED STRIVING AND THRIVING AND THE STRIVE THRIVE AND RISE GENERATION
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 618 W CHAPEL ST
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City | SANTA MARIA
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State | CA
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Zip | 93458-4312
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Country | US
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Telephone | 805-319-9159
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Fax | 805-259-4090
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Provider Business Mailing Address
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Address Line | 212 SARATOGA CT
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City | GOLETA
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State | CA
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Zip | 93117-2405
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Country | US
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Telephone | 805-319-9159
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Fax | 805-259-4090
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Authorized Official
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Title or Position | CHAIRPERSON
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Name | MR. GABRIEL ANTHONY OCHOA
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Credential |
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Telephone | 805-319-9159
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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