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General NPI Number Information
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NPI Number | 1427244334
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Entity Type | Organization
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Legal Business Name | STAND FOR FAMILIES FREE OF VIOLENCE
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 315 G ST
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City | ANTIOCH
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State | CA
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Zip | 94509-1254
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Country | US
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Telephone | 925-706-8477
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Fax | 925-706-4266
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Provider Business Mailing Address
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Address Line | 1410 DANZIG PLZ
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City | CONCORD
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State | CA
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Zip | 94520-7979
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Country | US
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Telephone | 925-676-2845
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Fax | 925-676-0274
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. GLORIA JEAN SANDOVAL
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Credential | EXECUTIVE DIRECTOR
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Telephone | 925-603-0112
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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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