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General NPI Number Information
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NPI Number | 1346543964
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Entity Type | Organization
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Legal Business Name | CHILDS HOMES FOR CHILDERN
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 7054 VANSCOY AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5357
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Country | US
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Telephone | 818-765-5900
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Fax | 818-759-6072
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Provider Business Mailing Address
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Address Line | 7054 VANSCOY AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5357
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Country | US
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Telephone | 818-765-5900
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Fax | 818-759-6072
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | MR. RUFUS PRINCE CHILDS
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Credential |
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Telephone | 818-765-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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