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General NPI Number Information
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NPI Number | 1124452545
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Entity Type | Organization
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Legal Business Name | SAN DIEGO CENTER FOR CHILDREN
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 3002 ARMSTRONG ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-5702
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Country | US
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Telephone | 858-277-9550
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Fax | 858-279-2763
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Provider Business Mailing Address
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Address Line | 3002 ARMSTRONG ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-5702
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Country | US
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Telephone | 858-277-9550
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Fax | 858-279-2763
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Authorized Official
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Title or Position | QA DIRECTOR
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Name | MS. MISTY HOWARD
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Credential |
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Telephone | 858-569-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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