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General NPI Number Information
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NPI Number | 1336367358
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Entity Type | Organization
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Legal Business Name | NEW ADVANCES FOR PEOPLE WITH DISABILITIES
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 12/23/2013
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Provider Practice Location Address
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Address Line | 2601 F ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5004
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Country | US
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Telephone | 661-325-3003
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Fax | 661-325-2344
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Provider Business Mailing Address
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Address Line | 2601 F ST BAKERSFIELD
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1815
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Country | US
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Telephone | 661-325-3003
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Fax | 661-325-2344
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Authorized Official
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Title or Position | DIVISION DIRECTOR
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Name | MR. SIMON PRINS JR.
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Credential |
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Telephone | 661-325-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 151558
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License Number State | CA
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