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General NPI Number Information
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NPI Number | 1124835186
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Entity Type | Organization
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Legal Business Name | COMMUNITY SUPPORT INITIATIVE (CSI), CORPORATION
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2251 FLORIN RD STE 96
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City | SACRAMENTO
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State | CA
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Zip | 95822-4483
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Country | US
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Telephone | 916-400-3102
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Fax | 916-400-3261
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Provider Business Mailing Address
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Address Line | 2251 FLORIN RD STE 96
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City | SACRAMENTO
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State | CA
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Zip | 95822-4483
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Country | US
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Telephone | 916-400-3102
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Fax | 916-400-3261
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Authorized Official
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Title or Position | CEO
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Name | KIMBERLYN HILL
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Credential |
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Telephone | 916-400-3102
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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 |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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