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General NPI Number Information
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NPI Number | 1093626624
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Entity Type | Organization
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Legal Business Name | CORE CHW
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 22810 TOM CT
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City | TEHACHAPI
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State | CA
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Zip | 93561-8279
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Country | US
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Telephone | 661-858-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 22810 TOM CT
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City | TEHACHAPI
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State | CA
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Zip | 93561-8279
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Country | US
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Telephone | 661-858-6989
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANABEL GRIFFIN
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Credential | CHW
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Telephone | 661-858-6989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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