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General NPI Number Information
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NPI Number | 1790811230
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Entity Type | Organization
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Legal Business Name | TRANSITIONS MENTAL HEALTH ASSOCIATION
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 277 SOUTH ST SUITE Y
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-5039
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Country | US
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Telephone | 805-541-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 3 LOS PALOS DR
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7712
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Country | US
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Telephone | 805-549-8194
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCE DIRECTOR
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Name | SHIRLEY TUTTLE
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Credential |
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Telephone | 805-541-5144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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