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General NPI Number Information
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NPI Number | 1245006402
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Entity Type | Organization
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Legal Business Name | WONDERS YEARS INC
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 24301 BARK ST
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City | LAKE FOREST
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State | CA
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Zip | 92630-5228
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Country | US
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Telephone | 949-215-4087
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Fax | 949-297-3559
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Provider Business Mailing Address
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Address Line | 24301 BARK ST
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City | LAKE FOREST
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State | CA
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Zip | 92630-5228
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Country | US
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Telephone | 949-215-4087
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Fax | 949-297-3559
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUAN M GARCIA
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Credential |
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Telephone | 949-200-2956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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