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General NPI Number Information
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NPI Number | 1447590310
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Entity Type | Organization
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Legal Business Name | JUST 4 KIDZ INC.
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 2385 S FAIRVIEW AVE
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City | FRESNO
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State | CA
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Zip | 93706-4811
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Country | US
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Telephone | 559-275-1784
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 W SHAW AVE 101
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City | FRESNO
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State | CA
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Zip | 93711-3234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXEC. DIR.
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Name | EUGENE TAYLOR
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Credential |
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Telephone | 559-275-1784
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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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