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General NPI Number Information
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NPI Number | 1326316829
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Entity Type | Organization
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Legal Business Name | RIVER OAK CENTER FOR CHILDREN
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 5404 LAUREL HILLS DR
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City | SACRAMENTO
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State | CA
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Zip | 95841-3106
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Country | US
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Telephone | 916-609-5156
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Fax |
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Provider Business Mailing Address
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Address Line | 5404 LAUREL HILLS DR
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City | SACRAMENTO
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State | CA
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Zip | 95841-3106
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Country | US
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Telephone | 916-609-5156
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Fax |
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Authorized Official
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Title or Position | HOUSING AND BENEFIT SPECIALIST
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Name | MR. CHRISTOPHER JOHN KIDD
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Credential |
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Telephone | 916-609-5156
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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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