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General NPI Number Information
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NPI Number | 1104947787
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Entity Type | Organization
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Legal Business Name | PIONEER HOME OUTREACH, INC.
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 317 W HENDERSON AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-1732
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Country | US
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Telephone | 559-781-8585
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Fax | 559-791-0183
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Provider Business Mailing Address
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Address Line | 317 W HENDERSON AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-1732
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Country | US
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Telephone | 559-781-8585
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Fax | 559-791-0183
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GERALDINE A OGANS
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Credential |
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Telephone | 559-781-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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