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General NPI Number Information
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NPI Number | 1568681153
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Entity Type | Organization
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Legal Business Name | CENTER POINT, INC.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1601 2ND ST 104
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2712
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Country | US
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Telephone | 415-492-4444
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Fax | 415-492-8844
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Provider Business Mailing Address
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Address Line | 135 PAUL DR
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2023
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Country | US
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Telephone | 415-492-4444
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Fax | 415-492-8844
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. SUSHMA D TAYLOR
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Credential | PH.D.
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Telephone | 415-492-4444
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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 | 210002GN
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License Number State | CA
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