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General NPI Number Information
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NPI Number | 1063835783
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Entity Type | Organization
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Legal Business Name | SPECIAL KIDS CRUSADE
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 1900 GARDEN RD SUITE 230
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City | MONTEREY
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State | CA
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Zip | 93940-5373
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Country | US
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Telephone | 831-372-2730
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 GARDEN RD SUITE 230
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City | MONTEREY
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State | CA
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Zip | 93940-5373
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Country | US
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Telephone | 831-372-2730
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JAMES COLLINS
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Credential |
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Telephone | 831-372-2730
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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 | 11876
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License Number State | CA
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