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General NPI Number Information
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NPI Number | 1508089483
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Entity Type | Organization
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Legal Business Name | KIDS FIRST FOUNDATION
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10001 COUNTY FARM RD
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City | RIVERSIDE
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State | CA
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Zip | 92503-3507
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Country | US
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Telephone | 951-343-2536
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Fax | 951-343-2541
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Provider Business Mailing Address
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Address Line | 11980 MOUNT VERNON AVE
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5172
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Country | US
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Telephone | 909-783-8470
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Fax | 909-783-7762
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Authorized Official
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Title or Position | ASST. REGIONAL VP
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Name | MS. JANA TREW
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Credential |
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Telephone | 909-783-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | CA
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