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General NPI Number Information
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NPI Number | 1285366799
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Entity Type | Organization
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Legal Business Name | THE BETTY KWAN CHINN HOMELESS FOUNDATION
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 133 7TH ST
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City | EUREKA
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State | CA
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Zip | 95501-1770
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Country | US
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Telephone | 707-407-3833
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 736
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City | EUREKA
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State | CA
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Zip | 95502-0736
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Country | US
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Telephone | 707-407-3833
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MARY PIERATT
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Credential |
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Telephone | 720-256-4806
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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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