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General NPI Number Information
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NPI Number | 1336898543
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Entity Type | Organization
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Legal Business Name | PURE SOLUTION FAMILY SERVICES, INC
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2218 5TH AVE
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City | OROVILLE
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State | CA
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Zip | 95965-5816
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Country | US
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Telephone | 707-633-8838
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Fax |
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Provider Business Mailing Address
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Address Line | 1889 ELM AVE
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4096
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Country | US
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Telephone | 707-834-4546
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMBER BEDELL
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Credential |
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Telephone | 707-834-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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