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General NPI Number Information
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NPI Number | 1942852900
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Entity Type | Organization
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Legal Business Name | PLUMAS COUNTY ALCOHOL AND DRUG
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 270 COUNTY HOSPITAL RD STE 109
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City | QUINCY
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State | CA
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Zip | 95971-9173
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Country | US
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Telephone | 530-283-6307
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Fax | 530-283-6045
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Provider Business Mailing Address
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Address Line | 270 COUNTY HOSPITAL RD STE 127
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City | QUINCY
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State | CA
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Zip | 95971-9174
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Country | US
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Telephone | 530-283-6307
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Fax | 530-283-6045
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Authorized Official
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Title or Position | QAQI MANAGER
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Name | JESSICA R MCGILL
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Credential |
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Telephone | 530-283-6307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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