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General NPI Number Information
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NPI Number | 1891666103
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Entity Type | Organization
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Legal Business Name | SEACOAST TREATMENT CENTER
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 5 LONG LEAF LN
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1626
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Country | US
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Telephone | 623-824-5441
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Fax |
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Provider Business Mailing Address
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Address Line | 910 CODY ST SE
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City | RAINIER
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State | WA
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Zip | 98576-9203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JESSE CAZAUX
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Credential |
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Telephone | 623-824-5441
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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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