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NPI 1144829094

NPI 1144829094 : TRU FOUNDATION : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1144829094
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRU FOUNDATION 
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Dates
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    Enumeration Date     |    10/21/2020
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    Last Update Date     |    10/21/2020
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Provider Practice Location Address
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    Address Line         |    11509 TAGUS DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-9641
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    Country              |    US
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    Telephone            |    661-472-3577
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    Fax                  |    661-771-3197
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Provider Business Mailing Address
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    Address Line         |    11509 TAGUS DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-9641
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    Country              |    US
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    Telephone            |    661-472-3577
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    Fax                  |    661-771-3197
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/REGISTERED NURSE
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    Name                 |    MRS. TIFFANY TARRIA APPLE 
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    Credential           |    RN
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    Telephone            |    661-472-3577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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        |    320700000X
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    Taxonomy Name        |    Physical Disabilities Residential Treatment Facility
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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        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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