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General NPI Number Information
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NPI Number | 1023702784
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Entity Type | Organization
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Legal Business Name | HEALTHIER KIDS FOUNDATION
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 4040 MOORPARK AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95117-1851
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Country | US
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Telephone | 408-564-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 MOORPARK AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95117-1851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | CASEY WATKINS
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Credential |
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Telephone | 408-355-3326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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