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General NPI Number Information
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NPI Number | 1306607072
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Entity Type | Organization
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Legal Business Name | YOLO COUNTY CHILDREN'S ALLIANCE
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 1200 ANNA ST RM 15
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605-2006
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Country | US
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Telephone | 916-572-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 600 A ST STE Y
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City | DAVIS
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State | CA
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Zip | 95616-3648
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Country | US
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Telephone | 530-757-5558
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENEBA F. LAHAI
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Credential |
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Telephone | 916-375-6258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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