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General NPI Number Information
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NPI Number | 1942537204
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Entity Type | Organization
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Legal Business Name | CALIFORNIA INSTITUTE OF INTEGRAL STUDIES
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 1453 MISSION ST FL 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2561
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Country | US
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Telephone | 415-575-6112
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Fax | 415-575-1263
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Provider Business Mailing Address
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Address Line | 1453 MISSION ST FL 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2561
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Country | US
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Telephone | 415-575-6112
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Fax | 415-575-1263
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH L. SUBBIONDO
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Credential |
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Telephone | 415-575-6112
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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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