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General NPI Number Information
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NPI Number | 1659181410
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY MENTAL HEALTH INC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 15728 ROAD 29 1/2
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City | MADERA
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State | CA
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Zip | 93636-2005
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Country | US
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Telephone | 408-318-7637
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Fax |
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Provider Business Mailing Address
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Address Line | 15728 ROAD 29 1/2
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City | MADERA
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State | CA
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Zip | 93636-2005
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Country | US
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Telephone | 408-318-7637
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAKESH CHAND
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Credential | PH.D
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Telephone | 408-318-7637
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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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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number |
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License Number State |
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