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General NPI Number Information
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NPI Number | 1891361218
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Entity Type | Organization
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Legal Business Name | S AND F GROUP HOLDINGS INC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 2615 CAMINO DEL RIO S STE 201
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City | SAN DIEGO
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State | CA
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Zip | 92108-3713
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Country | US
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Telephone | 619-436-1622
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Fax | 619-436-1664
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Provider Business Mailing Address
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Address Line | 2615 CAMINO DEL RIO S STE 201
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City | SAN DIEGO
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State | CA
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Zip | 92108-3713
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Country | US
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Telephone | 619-436-1622
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Fax | 619-436-1664
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Authorized Official
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Title or Position | COO
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Name | DR. JASON SHOEMAKER
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Credential | PHD
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Telephone | 310-795-4066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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