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General NPI Number Information
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NPI Number | 1497604433
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Entity Type | Organization
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Legal Business Name | TIME FOR CHANGE FOUNDATION
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 2164 N MOUNTAIN VIEW AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4019
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Country | US
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Telephone | 909-886-2994
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Fax |
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Provider Business Mailing Address
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Address Line | 2164 N MOUNTAIN VIEW AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4019
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Country | US
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Telephone | 909-886-2994
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | SHEREE DAWSON
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Credential | DAWSON
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Telephone | 323-335-9671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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