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General NPI Number Information
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NPI Number | 1720204696
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Entity Type | Organization
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Legal Business Name | HUMANISTIC ALTERNATIVES TO ADDICTION RESEARCH AND TREATMENT, INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 10850 MACARTHUR BLVD STE 200
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City | OAKLAND
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State | CA
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Zip | 94605-5266
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Country | US
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Telephone | 510-875-2300
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Fax | 510-875-2310
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Provider Business Mailing Address
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Address Line | 10850 MACARTHUR BLVD STE 200
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City | OAKLAND
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State | CA
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Zip | 94605-5266
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Country | US
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Telephone | 510-875-2300
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Fax | 510-875-2310
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELLE BURCH
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Credential |
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Telephone | 510-875-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 01-70
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License Number State | CA
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