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General NPI Number Information
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NPI Number | 1356218747
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Entity Type | Organization
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Legal Business Name | GARVEY/ALLEN STEAM ACADEMY
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 23750 ALESSANDRO BLVD STE G
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City | MORENO VALLEY
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State | CA
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Zip | 92553-8818
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Country | US
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Telephone | 951-384-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 23750 ALESSANDRO BLVD STE G&H
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City | MORENO VALLEY
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State | CA
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Zip | 92553-8811
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Country | US
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Telephone | 951-384-2015
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY GILMORE
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Credential |
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Telephone | 951-384-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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