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NPI 1720905516

NPI 1720905516 : CAPABLE WITHOUT CONDITIONS, LLC : VACAVILLE, CA

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General NPI Number Information
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    NPI Number           |    1720905516
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPABLE WITHOUT CONDITIONS, LLC 
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Dates
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    Enumeration Date     |    07/01/2026
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    Last Update Date     |    07/01/2026
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Provider Practice Location Address
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    Address Line         |    4500 BECK LN 
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    City                 |    VACAVILLE
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    State                |    CA
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    Zip                  |    95688-9322
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    Country              |    US
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    Telephone            |    707-685-7067
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4500 BECK LN 
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    City                 |    VACAVILLE
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    State                |    CA
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    Zip                  |    95688-9322
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    Country              |    US
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    Telephone            |    707-685-7067
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     CHRISTINA  MANCE 
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    Credential           |    
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    Telephone            |    707-685-7067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD1600X
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    Taxonomy Name        |    Developmental Disabilities 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        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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