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General NPI Number Information
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NPI Number | 1467082503
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Entity Type | Organization
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Legal Business Name | NOURISHING GENERATIONS EDUCATIONAL PROJECT
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 289 MADRONA RD
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City | FELTON
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State | CA
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Zip | 95018-9652
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Country | US
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Telephone | 831-419-0759
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95
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City | FELTON
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State | CA
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Zip | 95018-0095
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Country | US
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Telephone | 831-419-0759
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Fax | 831-335-3245
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KAREN T HARALSON
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Credential | MA NC
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Telephone | 831-419-0759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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