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General NPI Number Information
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NPI Number | 1831983683
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Entity Type | Organization
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Legal Business Name | UNITY FULL CIRCLE RECOVERY SERVICE
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1849 CLAY ST
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City | FAIRFIELD
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State | CA
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Zip | 94533-3810
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Country | US
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Telephone | 707-770-7095
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Fax |
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Provider Business Mailing Address
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Address Line | 1849 CLAY ST
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City | FAIRFIELD
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State | CA
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Zip | 94533-3810
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Country | US
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Telephone | 707-770-7095
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ROSHAWN ADAMS
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Credential |
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Telephone | 707-563-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 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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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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