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General NPI Number Information
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NPI Number | 1639427339
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Entity Type | Organization
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Legal Business Name | CRESTWOOD PHF SACRAMENTO
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2600 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-2210
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Country | US
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Telephone | 916-520-2785
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-2210
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Country | US
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Telephone | 916-520-2785
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR REIMBURSEMENT
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Name | MICHELLE SMITH
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Credential |
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Telephone | 209-955-2364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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