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General NPI Number Information
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NPI Number | 1518265727
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Entity Type | Organization
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Legal Business Name | STRATEGIES FOR CHANGE
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 03/11/2011
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Provider Practice Location Address
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Address Line | 5325 ENGLE RD STE 200
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City | CARMICHAEL
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State | CA
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Zip | 95608-3091
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Country | US
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Telephone | 916-473-5764
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 AUBURN BLVD STE E
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City | SACRAMENTO
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State | CA
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Zip | 95841-4139
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Country | US
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Telephone | 916-473-5764
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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 | CYNTHIA J KEETH
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Credential |
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Telephone | 916-473-5764
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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 | 340084AN
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License Number State | CA
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