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NPI 1740666429

NPI 1740666429 : KONTINUUM CARE, LLC : EMERYVILLE, CA

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General NPI Number Information
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    NPI Number           |    1740666429
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    Entity Type          |    Organization 
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    Legal Business Name  |    KONTINUUM CARE, LLC 
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Dates
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    Enumeration Date     |    08/05/2015
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    Last Update Date     |    01/26/2017
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Provider Practice Location Address
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    Address Line         |    5901 CHRISTIE AVE 208
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    City                 |    EMERYVILLE
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    State                |    CA
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    Zip                  |    94608-1930
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    Country              |    US
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    Telephone            |    510-891-1887
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5901 CHRISTIE AVE 208
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    City                 |    EMERYVILLE
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    State                |    CA
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    Zip                  |    94608-1930
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    Country              |    US
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    Telephone            |    510-891-1887
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RHONDA  DALEY 
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    Credential           |    
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    Telephone            |    510-891-1887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    CA
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