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General NPI Number Information
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NPI Number | 1013083807
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Entity Type | Organization
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Legal Business Name | COUNTY OF SACRAMENTO
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Dates
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Enumeration Date | 11/26/2006
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 5747 WATT AVE
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-4751
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Country | US
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Telephone | 916-876-8000
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Fax | 916-876-7470
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Provider Business Mailing Address
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Address Line | 7001A EAST PKWY SUITE 400
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City | SACRAMENTO
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State | CA
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Zip | 95823-2501
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Country | US
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Telephone | 916-875-4948
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Fax | 916-875-6970
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Authorized Official
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Title or Position | DEPUTY DIRECTOR
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Name | UMA ZYKOFSKY
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Credential |
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Telephone | 916-875-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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 |
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Taxonomy #3
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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