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General NPI Number Information
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NPI Number | 1336368562
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Entity Type | Organization
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Legal Business Name | FAMILY CIRCLE INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 2100 OUTLET CENTER DR STE 370
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City | OXNARD
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State | CA
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Zip | 93036-0627
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Country | US
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Telephone | 805-385-4180
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Fax | 805-385-8846
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Provider Business Mailing Address
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Address Line | 2100 OUTLET CENTER DR STE 370
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City | OXNARD
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State | CA
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Zip | 93036-0627
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Country | US
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Telephone | 805-385-4180
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Fax | 805-385-8846
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KATY KRUL
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Credential |
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Telephone | 805-385-4180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 070000601
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License Number State | CA
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