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General NPI Number Information
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NPI Number | 1386758837
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Entity Type | Organization
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Legal Business Name | RIDING HIGH EQUESTRIAN PROGRAM
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 11685 LORENSON RD
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City | AUBURN
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State | CA
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Zip | 95602-9111
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Country | US
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Telephone | 530-888-8891
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Fax | 530-888-7899
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Provider Business Mailing Address
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Address Line | 11685 LORENSON RD
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City | AUBURN
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State | CA
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Zip | 95602-9111
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Country | US
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Telephone | 530-888-8891
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Fax | 530-888-7899
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. HONEY COWAN
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Credential | RN MFCC DAPA CRS
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Telephone | 530-888-8891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFCC 23590
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License Number State | CA
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