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General NPI Number Information
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NPI Number | 1033262688
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Entity Type | Organization
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Legal Business Name | KIDS FIRST FOUNDATION
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1236 H ST
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City | RAMONA
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State | CA
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Zip | 92065-2837
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Country | US
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Telephone | 760-789-7060
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Fax |
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Provider Business Mailing Address
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Address Line | 11980 MOUNT VERNON AVE
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5172
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Country | US
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Telephone | 909-783-8470
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Fax | 909-783-7762
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Authorized Official
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Title or Position | ASSISTANT REGIONAL VICE PRESIDENT
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Name | MS. JANA TREW
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Credential |
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Telephone | 909-783-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State | CA
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