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NPI 1023100112

NPI 1023100112 : STAR VIEW CHILDREN AND FAMILY SERVICES, INC. : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1023100112
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    Entity Type          |    Organization 
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    Legal Business Name  |    STAR VIEW CHILDREN AND FAMILY SERVICES, INC. 
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Dates
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    Enumeration Date     |    09/28/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    4025 W 226TH ST 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90505-2340
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    Country              |    US
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    Telephone            |    310-373-4556
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    Fax                  |    310-373-2826
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Provider Business Mailing Address
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    Address Line         |    4025 W 226TH ST 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90505-2340
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    Country              |    US
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    Telephone            |    310-373-4556
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    Fax                  |    310-373-2826
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARY JANE  GROSS 
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    Credential           |    RN, MA
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    Telephone            |    310-373-4556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    CA
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