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General NPI Number Information
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NPI Number | 1548984727
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Entity Type | Organization
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Legal Business Name | VISIT HEALTHCARE
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 16400 LARK AVE STE 240
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City | LOS GATOS
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State | CA
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Zip | 95032-2564
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Country | US
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Telephone | 408-384-9717
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Fax |
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Provider Business Mailing Address
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Address Line | 16400 LARK AVE STE 240
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City | LOS GATOS
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State | CA
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Zip | 95032-2564
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Country | US
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Telephone | 650-331-0134
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CHRIS KOONE
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Credential |
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Telephone | 502-215-7331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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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 | 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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