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General NPI Number Information
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NPI Number | 1336905322
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Entity Type | Organization
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Legal Business Name | HUMANITY SERVICES INC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 680 E COLORADO BLVD STE 180&2ND
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City | PASADENA
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State | CA
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Zip | 91101-6143
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Country | US
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Telephone | 916-538-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 3230 ARENA BLVD STE 245211
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City | SACRAMENTO
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State | CA
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Zip | 95834-1099
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Country | US
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Telephone | 916-538-9255
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | TAMMY D DILLARD-MOIJUEH
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Credential | NP
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Telephone | 916-538-9255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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