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General NPI Number Information
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NPI Number | 1316123144
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Entity Type | Organization
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Legal Business Name | FOSTERING EARLY LEARNING INSTITUTE
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 484 ROHNERT PARK EXPY W
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City | ROHNERT PARK
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State | CA
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Zip | 94928-7931
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Country | US
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Telephone | 707-591-0170
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Fax | 707-591-0171
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Provider Business Mailing Address
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Address Line | 484 ROHNERT PARK EXPY W
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City | ROHNERT PARK
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State | CA
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Zip | 94928-7931
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Country | US
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Telephone | 707-591-0170
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Fax | 707-591-0171
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELE MARIE ROGERS
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Credential |
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Telephone | 707-591-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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