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General NPI Number Information
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NPI Number | 1073837571
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Entity Type | Organization
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Legal Business Name | EDUCERE, INC.
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 1592 11TH STREET SUITE G
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City | REEDLEY
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State | CA
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Zip | 93654-2939
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Country | US
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Telephone | 559-999-2391
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Fax | 559-229-0688
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Provider Business Mailing Address
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Address Line | 1592 11TH STREET SUITE G
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City | REEDLEY
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State | CA
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Zip | 93654-2939
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Country | US
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Telephone | 559-999-2319
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Fax | 559-229-0688
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. GWEN E. DAVEY
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Credential | PH.D., LMFT
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Telephone | 559-999-2319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | CA
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Taxonomy #2
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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 | CA
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