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General NPI Number Information
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NPI Number | 1437577103
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Entity Type | Organization
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Legal Business Name | SANTA CLARITA COMMUNITY COLLEGE DISTRICT
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 26455 ROCKWELL CANYON RD STUDENT CENTER-122
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City | SANTA CLARITA
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State | CA
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Zip | 91355-1803
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Country | US
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Telephone | 661-362-3259
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Fax |
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Provider Business Mailing Address
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Address Line | 26455 ROCKWELL CANYON RD STUDENT CENTER-122
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City | SANTA CLARITA
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State | CA
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Zip | 91355-1803
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Country | US
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Telephone | 661-362-3259
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, STUDENT SERVICES
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Name | MICHAEL WILDING
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Credential |
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Telephone | 661-259-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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