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General NPI Number Information
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NPI Number | 1841903622
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Entity Type | Organization
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Legal Business Name | HUEY HEALTH LLC
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 548 MARKET ST SUITE 50384
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City | SAN FRANCISCO
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State | CA
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Zip | 94104
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Country | US
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Telephone | 415-851-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 548 MARKET ST SUITE 50384
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City | SAN FRANCISCO
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State | CA
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Zip | 94104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER CEO
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Name | MOHAMMAD ABDUR RAFFA MIRZA
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Credential |
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Telephone | 510-385-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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