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General NPI Number Information
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NPI Number | 1518095488
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Entity Type | Organization
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Legal Business Name | VIOLET HEINTZ EDUCATION ACADEMY
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 4939 E YALE AVE
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City | FRESNO
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State | CA
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Zip | 93727
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Country | US
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Telephone | 559-443-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 N MILLBROOK
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City | FRESNO
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State | CA
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Zip | 93703-1425
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Country | US
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Telephone | 559-453-8918
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Fax |
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Authorized Official
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Title or Position | DIREC DEP BEH HEALTH
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Name | DAWAN UTECHT
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Credential |
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Telephone | 559-600-6895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 000001091
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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