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General NPI Number Information
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NPI Number | 1891589438
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Entity Type | Organization
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Legal Business Name | CENTRAL COAST OVERDOSE PREVENTION
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 15 DEER STALKER PATH
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City | MONTEREY
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State | CA
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Zip | 93940-6312
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Country | US
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Telephone | 877-226-3717
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2101
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City | MONTEREY
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State | CA
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Zip | 93942-2101
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Country | US
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Telephone | 831-682-5008
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Fax |
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Authorized Official
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Title or Position | SYSTEM ADMINISTRATOR
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Name | KHANH ALEXANDER NGOC NGUYEN WHITED
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Credential |
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Telephone | 650-469-2218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/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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