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General NPI Number Information
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NPI Number | 1558957878
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Entity Type | Organization
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Legal Business Name | KIDS TO KIDS
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 496 HOWARD ST
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City | VENTURA
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State | CA
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Zip | 93003-4533
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Country | US
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Telephone | 805-643-1900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2796
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City | VENTURA
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State | CA
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Zip | 93002-2796
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Country | US
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Telephone | 805-896-6192
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID YASUTAKE
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Credential |
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Telephone | 806-896-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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