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General NPI Number Information
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NPI Number | 1720947708
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Entity Type | Organization
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Legal Business Name | COUNTY OF STANISLAUS
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2000 W BRIGGSMORE AVE STE A
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City | MODESTO
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State | CA
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Zip | 95350-3839
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Country | US
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Telephone | 209-526-1476
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Fax | 209-526-0908
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Provider Business Mailing Address
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Address Line | 2000 W BRIGGSMORE AVE STE A
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City | MODESTO
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State | CA
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Zip | 95350-3839
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Country | US
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Telephone | 209-526-1476
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Fax | 209-526-0908
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Authorized Official
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Title or Position | ACCOUNTING CLERK III
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Name | DESIREE TURNBOUGH
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Credential |
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Telephone | 209-602-4670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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