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General NPI Number Information
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NPI Number | 1154257715
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Entity Type | Organization
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Legal Business Name | COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 24 W ELM ST
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City | LODI
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State | CA
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Zip | 95240-2117
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Country | US
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Telephone | 209-444-4114
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | LODI
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State | CA
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Zip | 95241-0069
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Country | US
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Telephone | 209-444-4114
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LYNSAY NUSS
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Credential |
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Telephone | 209-406-3018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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