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General NPI Number Information
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NPI Number | 1841060886
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Entity Type | Organization
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Legal Business Name | SEQUOIA BEHAVIORAL HEALTH A PROFESSIONAL PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 209 E CALDWELL AVE
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City | VISALIA
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State | CA
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Zip | 93277-7605
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Country | US
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Telephone | 559-667-4111
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Fax |
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Provider Business Mailing Address
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Address Line | C/O PREMIER VALLEY BANK, PO BOX 45992
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City | SAN FRANCISCO
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State | CA
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Zip | 94145-0992
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Country | US
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Telephone | 559-667-4111
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | DR. HAYDEN MOSER
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Credential |
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Telephone | 949-446-6281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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