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General NPI Number Information
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NPI Number | 1467576611
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Entity Type | Organization
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Legal Business Name | FAMILY BUILDERS FOSTER CARE, INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 5633 N. FIG GARDEN DRIVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93722
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Country | US
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Telephone | 559-248-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 N. FIG GARDEN DRIVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93722
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Country | US
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Telephone | 559-248-0395
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JUDY DUBEAU
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Credential | PH.D.
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Telephone | 559-909-0163
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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 | 107202933
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License Number State | CA
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