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General NPI Number Information
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NPI Number | 1568814861
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Entity Type | Organization
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Legal Business Name | ANOTHER CHOICE ANOTHER CHANCE EL DORADO HILLS
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 5170 GOLDEN FOOTHILL PKWY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9608
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Country | US
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Telephone | 916-509-5919
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Fax |
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Provider Business Mailing Address
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Address Line | 5170 GOLDEN FOOTHILL PKWY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9608
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Country | US
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Telephone | 916-509-5919
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS ASHOOB P SALIMI
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Credential | MS PSYCH, LAADC
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Telephone | 916-509-5919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 090022AN
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License Number State | CA
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