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General NPI Number Information
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NPI Number | 1578383154
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Entity Type | Organization
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Legal Business Name | KERN BEHAVIORAL HEALTH AND RECOVERY SERVICES
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1401 L ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4522
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Country | US
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Telephone | 661-868-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 N CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93308-1770
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Country | US
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Telephone | 661-868-1774
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORK INTERN
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Name | YAHAIRA VARGAS
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Credential |
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Telephone | 661-573-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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