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General NPI Number Information
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NPI Number | 1023894813
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Entity Type | Organization
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Legal Business Name | THE OPEN DOOR NETWORK
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1921 19TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4209
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Country | US
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Telephone | 661-322-0931
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 19TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4209
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Country | US
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Telephone | 661-322-0931
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LAUREN SKIDMORE
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Credential |
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Telephone | 661-330-2953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation 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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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