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General NPI Number Information
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NPI Number | 1326235326
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Entity Type | Organization
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Legal Business Name | EASTFIELD QUAN MING CHILDREN AND FAMILY SERVICES
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 8801 FOLSOM BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95826-3257
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Country | US
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Telephone | 916-388-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 8801 FOLSOM ROAD
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City | SACRAMENTO
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State | CA
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Zip | 95826
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Country | US
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Telephone | 916-388-6400
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Fax |
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Authorized Official
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Title or Position | INTERN
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Name | MISS ANA NGA THI NGUYEN
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Credential |
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Telephone | 209-684-2497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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