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General NPI Number Information
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NPI Number | 1902948532
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Entity Type | Organization
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Legal Business Name | HEALTHRIGHT 360
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 214 HAIGHT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6127
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Country | US
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Telephone | 415-554-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2417
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Country | US
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Telephone | 415-762-3700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. VITKA EISEN
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Credential | MSW, ED.D
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Telephone | 415-762-3700
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 380016AHN
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License Number State | CA
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