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General NPI Number Information
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NPI Number | 1457489544
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Entity Type | Organization
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Legal Business Name | MONTE VISTA CHILD CARE CENTER INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9140 MONTE VISTA AVE
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City | MONTCLAIR
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State | CA
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Zip | 91763-1723
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Country | US
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Telephone | 909-624-2774
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Fax | 909-624-6014
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Provider Business Mailing Address
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Address Line | 9140 MONTE VISTA AVE
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City | MONTCLAIR
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State | CA
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Zip | 91763
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Country | US
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Telephone | 909-624-2774
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Fax | 909-624-6014
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. MICHELLE R CLARKE
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Credential |
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Telephone | 909-623-2774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | CA
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