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General NPI Number Information
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NPI Number | 1780556167
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Entity Type | Organization
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Legal Business Name | ST. VINCENT DE PAUL VILLAGE, INC.
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 16 15TH STREET SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92101
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Country | US
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Telephone | 619-665-1607
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 E ST
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City | SAN DIEGO
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State | CA
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Zip | 92102-3332
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Country | US
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Telephone | 619-771-8437
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Fax |
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Authorized Official
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Title or Position | CHIEF HEALTH OFFICER
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Name | MRS. MEGAN PARTCH
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Credential |
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Telephone | 619-645-6405
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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 |
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