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General NPI Number Information
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NPI Number | 1831452119
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Entity Type | Organization
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Legal Business Name | SAY SAN DIEGO
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 1260 DENNERY RD APT 304
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City | SAN DIEGO
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State | CA
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Zip | 92154-6446
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Country | US
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Telephone | 850-776-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 DENNERY RD APT 304
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City | SAN DIEGO
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State | CA
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Zip | 92154-6446
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Country | US
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Telephone | 850-776-6297
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Fax |
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Authorized Official
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Title or Position | DUAL DIAGNOSIS CLINICIAN
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Name | MRS. SABRINA CONKLIN
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Credential | MSW
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Telephone | 850-776-6297
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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 | ASW32549
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License Number State | CA
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