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General NPI Number Information
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NPI Number | 1881002541
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Entity Type | Organization
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Legal Business Name | UJIMA FAMILY RECOVERY SERVICES
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 12960 SAN PABLO AVE
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City | RICHMOND
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State | CA
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Zip | 94805-1307
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Country | US
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Telephone | 510-215-2280
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Fax | 510-215-2283
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Provider Business Mailing Address
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Address Line | 1901 CHURCH LN
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City | SAN PABLO
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State | CA
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Zip | 94806-3707
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Country | US
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Telephone | 510-236-3139
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Fax | 510-236-3200
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. RITA SCHANK
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Credential |
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Telephone | 510-236-3139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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