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General NPI Number Information
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NPI Number | 1356880967
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Entity Type | Organization
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Legal Business Name | YOU ARE THE DIFFERENCE FOUNDATION
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 700 S BURRIS AVE
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City | COMPTON
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State | CA
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Zip | 90221-3945
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Country | US
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Telephone | 310-608-0150
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Fax | 310-608-6920
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Provider Business Mailing Address
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Address Line | 1249 S DIAMOND BAR BLVD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4122
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Country | US
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Telephone | 909-861-2809
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Fax | 909-396-4429
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BILLIE WOODS
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Credential |
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Telephone | 310-608-0150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CA
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