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General NPI Number Information
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NPI Number | 1578270740
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Entity Type | Organization
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Legal Business Name | BEAT IT PROGRAM INC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 920 SARATOGA AVE STE 207
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City | SAN JOSE
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State | CA
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Zip | 95129-3408
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Country | US
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Telephone | 800-828-3939
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Fax | 210-481-9228
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Provider Business Mailing Address
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Address Line | 20079 STONE OAK PKWY STE 1105-158
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6942
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Country | US
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Telephone | 800-282-3939
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Fax | 210-481-9228
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Authorized Official
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Title or Position | CHIEF OPERATION OFFICER
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Name | VICTORIA ANN HESENFLOW
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Credential |
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Telephone | 800-828-3939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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