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General NPI Number Information
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NPI Number | 1295490365
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY LOW INCOME HOUSING CORP.
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 2431 W MARCH LN STE 350
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City | STOCKTON
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State | CA
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Zip | 95207-8218
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Country | US
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Telephone | 209-472-7200
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Fax | 209-954-9548
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Provider Business Mailing Address
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Address Line | PO BOX 4732
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City | STOCKTON
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State | CA
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Zip | 95204-0732
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Country | US
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Telephone | 209-472-7200
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Fax | 209-954-9548
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JONATHAN MENDELSON
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Credential |
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Telephone | 209-472-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 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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