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General NPI Number Information
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NPI Number | 1982781159
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Entity Type | Organization
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Legal Business Name | BAART COMMUNITY HEALTHCARE
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1111 MARKET ST 1ST FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-1513
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Country | US
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Telephone | 415-552-7914
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Fax | 415-552-3455
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Provider Business Mailing Address
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Address Line | 1720 LAKEPOINTE DR STE 117
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City | LEWISVILLE
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State | TX
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Zip | 75057-6425
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Country | US
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Telephone | 214-369-3300
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Fax | 214-853-9018
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Authorized Official
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Title or Position | VP, TREASURER
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Name | BRUCE JARVIE
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Credential |
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Telephone | 214-379-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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