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General NPI Number Information
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NPI Number | 1548638190
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Entity Type | Organization
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Legal Business Name | COUNTY OF MERCED
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 7099 CALIFORNIA STREET
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City | WINTON
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State | CA
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Zip | 95388-9240
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Country | US
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Telephone | 209-381-6800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2087
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City | MERCED
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State | CA
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Zip | 95344-0087
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Country | US
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Telephone | 209-381-6800
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Fax |
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Authorized Official
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Title or Position | MERCED COUNTY BHRS DIRECTOR
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Name | GENEVIEVE VALENTINE
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Credential |
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Telephone | 209-381-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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