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General NPI Number Information
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NPI Number | 1881828945
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Entity Type | Organization
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Legal Business Name | CHOICES A ROAD TO RECOVERY
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 3321 N. HILLIARD LANE
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City | FRESNO
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State | CA
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Zip | 93726
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Country | US
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Telephone | 559-229-3737
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Fax | 559-229-3755
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Provider Business Mailing Address
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Address Line | 3321 N HILLIARD ST
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City | FRESNO
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State | CA
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Zip | 93726-5854
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Country | US
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Telephone | 559-229-3737
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Fax | 559-229-3755
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JANET L. NELSON
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Credential | CAS II
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Telephone | 559-229-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 02-076261
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License Number State |
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