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General NPI Number Information
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NPI Number | 1639944689
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Entity Type | Organization
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Legal Business Name | DRUG AND ALCOHOL REHABILITATION CENTER OF SAN DIEGO
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 10219 CAMINITO RIO BRANCO
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City | SAN DIEGO
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State | CA
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Zip | 92131-1629
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Country | US
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Telephone | 619-227-9731
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Fax |
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Provider Business Mailing Address
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Address Line | 9984 SCRIPPS RANCH BLVD # 283
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City | SAN DIEGO
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State | CA
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Zip | 92131-1825
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Country | US
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Telephone | 619-227-9731
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONICA PERSONS
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Credential |
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Telephone | 619-227-9731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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