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General NPI Number Information
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NPI Number | 1366653883
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Entity Type | Organization
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Legal Business Name | CENTER FOR HUMAN SERVICES
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 251 E HACKETT RD
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City | MODESTO
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State | CA
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Zip | 95358-9800
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Country | US
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Telephone | 209-526-1476
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Fax | 209-526-0908
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Provider Business Mailing Address
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Address Line | 1700 MCHENRY VILLAGE WAY STE 11
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City | MODESTO
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State | CA
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Zip | 95350-4308
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Country | US
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Telephone | 209-526-1476
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Fax | 209-526-0908
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | CINDY DUENAS
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Credential | MFT
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Telephone | 209-526-1476
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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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