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General NPI Number Information
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NPI Number | 1063882389
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SACRAMENTO AREA, INC.
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 4350 AUBURN BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95841-4107
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Country | US
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Telephone | 916-283-8305
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Fax | 916-565-7773
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Provider Business Mailing Address
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Address Line | 4350 AUBURN BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95841-4107
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Country | US
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Telephone | 916-283-8305
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Fax | 916-565-7773
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ERIC R CIAMPA
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Credential |
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Telephone | 916-283-8305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | 56899P1
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | 56898P1
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | 75267P1
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | 56895P1
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License Number State | CA
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