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General NPI Number Information
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NPI Number | 1346079332
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Entity Type | Organization
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Legal Business Name | COMMUNITY SOLUTIONS FOR CHILDREN, FAMILIES AND INDIVIDUALS
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 13745 LLAGAS AVE
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City | SAN MARTIN
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State | CA
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Zip | 95046-9563
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Country | US
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Telephone | 408-201-6480
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Fax |
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Provider Business Mailing Address
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Address Line | 9015 MURRAY AVE STE 100
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City | GILROY
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State | CA
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Zip | 95020-3675
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERIN O'BRIEN
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Credential |
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Telephone | 408-846-4776
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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 |
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