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General NPI Number Information
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NPI Number | 1285067215
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Entity Type | Organization
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Legal Business Name | WOMEN OF WORTH RECOVERY HOUSE
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 2500 OLMO CT
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4420
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Country | US
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Telephone | 661-832-8075
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Fax | 661-832-0375
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Provider Business Mailing Address
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Address Line | 2500 OLMO CT
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4420
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Country | US
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Telephone | 661-832-8075
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Fax | 661-832-0375
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MISS KELLI MCCORMICK
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Credential |
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Telephone | 661-832-8075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 150055AP
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License Number State | CA
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