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General NPI Number Information
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NPI Number | 1578449799
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Entity Type | Organization
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Legal Business Name | GROWING OUTREACH GROWING OPPORTUNITIES
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 921 E WILLIAMS ST
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City | BARSTOW
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State | CA
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Zip | 92311-3049
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Country | US
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Telephone | 760-262-2620
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 98
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City | BARSTOW
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State | CA
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Zip | 92312-0098
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Country | US
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Telephone | 323-237-3900
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELIZABETH CARMEN GIVENS
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Credential |
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Telephone | 323-237-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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