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General NPI Number Information
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NPI Number | 1871889675
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Entity Type | Individual
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Provider Name | JUSTIN A ALTSCHULER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 5025 J ST STE 206
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City | SACRAMENTO
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State | CA
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Zip | 95819-3839
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Country | US
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Telephone | 916-668-7164
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Fax |
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Provider Business Mailing Address
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Address Line | 5025 J ST STE 206
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City | SACRAMENTO
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State | CA
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Zip | 95819-3839
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Country | US
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Telephone | 916-668-7164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | A122737
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A122737
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License Number State | CA
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