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General NPI Number Information
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NPI Number | 1518199215
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Entity Type | Organization
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Legal Business Name | JUST 4 KIDZ, INC.
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 3435 W SHAW AVE SWEET 101
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City | FRESNO
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State | CA
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Zip | 93711-3234
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Country | US
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Telephone | 559-389-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 605 W HERNDON AVE SUITE 600 #27
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City | CLOVIS
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State | CA
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Zip | 93612-0191
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Country | US
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Telephone | 559-389-3963
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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 | MR. EUGENE ALTON TAYLOR
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Credential |
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Telephone | 559-389-3963
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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 |
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License Number State |
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