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General NPI Number Information
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NPI Number | 1184767469
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Entity Type | Organization
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Legal Business Name | BUENAVENTURA EVALUATION SERVICES AND TESTING
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 E FESLER ST STE 106
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City | SANTA MARIA
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State | CA
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Zip | 93454-4467
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Country | US
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Telephone | 805-349-1179
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Fax | 805-346-8701
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Provider Business Mailing Address
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Address Line | 200 E FESLER ST STE 106
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City | SANTA MARIA
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State | CA
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Zip | 93454-4467
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Country | US
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Telephone | 805-349-1179
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Fax | 805-346-8701
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Authorized Official
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Title or Position | CEO
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Name | LAURA KISTNER
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Credential |
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Telephone | 805-349-1179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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