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General NPI Number Information
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NPI Number | 1528660982
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Entity Type | Organization
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Legal Business Name | NATIONAL ASSOCIATION FOR THE TREATMENT OF SEXUAL ABUSE
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 1780 PINEHURST AVE
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City | ESCONDIDO
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State | CA
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Zip | 92026-1873
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Country | US
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Telephone | 760-747-0243
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Fax | 760-735-2922
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Provider Business Mailing Address
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Address Line | 1780 PINEHURST AVE
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City | ESCONDIDO
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State | CA
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Zip | 92026-1873
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Country | US
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Telephone | 858-353-6357
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Fax | 760-735-2922
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. YOSHITA SINGH CONRAD
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Credential | MA
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Telephone | 858-353-6357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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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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