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General NPI Number Information
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NPI Number | 1043332760
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Entity Type | Organization
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Legal Business Name | FAMILY BUILDERS FOSTER CARE,INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 2499 W SHAW AVE STE 103
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City | FRESNO
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State | CA
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Zip | 93711-3329
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Country | US
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Telephone | 559-248-0395
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Fax | 559-248-0398
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Provider Business Mailing Address
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Address Line | 2499 W SHAW AVE STE 103
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City | FRESNO
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State | CA
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Zip | 93711-3329
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Country | US
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Telephone | 559-248-0395
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Fax | 559-248-0398
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Authorized Official
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Title or Position | SUPPORT COUNSELOR
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Name | MS. SHANISHA DENISE AUGUSTINE
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Credential |
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Telephone | 559-248-0395
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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 |
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