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General NPI Number Information
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NPI Number | 1568386381
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Entity Type | Organization
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Legal Business Name | ACADEMICS 4 ATHLETES, INC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 2648 DEL PASO BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95815-2352
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Country | US
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Telephone | 916-802-6456
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Fax | 888-588-1354
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Provider Business Mailing Address
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Address Line | PO BOX 340511
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City | SACRAMENTO
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State | CA
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Zip | 95834-0511
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Country | US
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Telephone | 916-821-3423
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Fax | 888-588-1354
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PRENTICE DEONARD WILSON
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Credential |
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Telephone | 916-821-3423
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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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