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General NPI Number Information
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NPI Number | 1518767508
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Entity Type | Organization
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Legal Business Name | COUNTY OF MERCED
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1640 N ST STE 100
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City | MERCED
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State | CA
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Zip | 95340-4657
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Country | US
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Telephone | 209-381-6858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2087
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City | MERCED
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State | CA
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Zip | 95344-0087
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Country | US
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Telephone | 209-381-6800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIMIKO M VANG
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Credential | DSW, LCSW
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Telephone | 209-381-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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