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General NPI Number Information
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NPI Number | 1891815031
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Entity Type | Organization
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Legal Business Name | SERVICES UNITED, INC.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 951 E MAIN ST
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City | SANTA PAULA
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State | CA
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Zip | 93060-2822
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Country | US
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Telephone | 805-525-9392
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Fax | 805-525-4983
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Provider Business Mailing Address
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Address Line | 951 E MAIN ST PO BOX 131
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City | SANTA PAULA
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State | CA
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Zip | 93060-2822
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Country | US
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Telephone | 805-525-9392
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Fax | 805-525-4983
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. BENITO R JUAREZ
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Credential |
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Telephone | 805-525-9392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 565659
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License Number State | CA
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