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General NPI Number Information
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NPI Number | 1558855338
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Entity Type | Organization
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Legal Business Name | RURAL INNOVATIONS IN SOCIAL ECONOMICS, INCORPORATED
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 17340 YOLO AVE
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City | ESPARTO
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State | CA
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Zip | 95627-2265
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Country | US
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Telephone | 530-787-4110
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Fax | 530-787-4104
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Provider Business Mailing Address
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Address Line | 17340 YOLO AVE.
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City | ESPARTO
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State | CA
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Zip | 95627-2137
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Country | US
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Telephone | 530-787-4110
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Fax | 530-787-4104
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LAURA GUEVARA
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Credential |
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Telephone | 209-606-3229
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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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