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General NPI Number Information
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NPI Number | 1437973880
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Entity Type | Organization
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Legal Business Name | THERE'S HOPE FOR US KIDS
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1909 LACEY ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-5917
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Country | US
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Telephone | 805-561-8914
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13143
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City | BAKERSFIELD
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State | CA
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Zip | 93389-3143
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Country | US
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Telephone | 805-561-8914
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HOPRAYA STIDOM
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Credential | LMFT LPCC
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Telephone | 805-561-8914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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