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General NPI Number Information
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NPI Number | 1972845881
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN LUIS OBISPO DRUG AND ALCOHOL SERVICES
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 805 4TH ST SUITE 101
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City | PASO ROBLES
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State | CA
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Zip | 93446
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Country | US
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Telephone | 805-226-3200
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Fax | 805-226-3221
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Provider Business Mailing Address
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Address Line | 2180 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4558
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Country | US
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Telephone | 805-781-4275
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Fax | 805-781-1227
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Authorized Official
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Title or Position | DIVISION MANAGER
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Name | DR. STARLENE M GRABER
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Credential | PHD, LMFT
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Telephone | 805-781-4759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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