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NPI 1275354490

NPI 1275354490 : VII FOUNDATION : SAN MARCOS, CA

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General NPI Number Information
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    NPI Number           |    1275354490
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    Entity Type          |    Organization 
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    Legal Business Name  |    VII FOUNDATION 
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Dates
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    Enumeration Date     |    10/21/2024
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    Last Update Date     |    10/21/2024
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Provider Practice Location Address
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    Address Line         |    1195 LINDA VISTA DR STE H 
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    City                 |    SAN MARCOS
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    State                |    CA
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    Zip                  |    92078-3824
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    Country              |    US
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    Telephone            |    619-310-3633
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1195 LINDA VISTA DR STE H 
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    City                 |    SAN MARCOS
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    State                |    CA
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    Zip                  |    92078-3824
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    Country              |    US
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    Telephone            |    619-310-3633
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BOARD MEMBER
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    Name                 |     JEREMIE  MEYERS 
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    Credential           |    
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    Telephone            |    619-310-3633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management 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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Taxonomy #3
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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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