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General NPI Number Information
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NPI Number | 1578986121
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Entity Type | Organization
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Legal Business Name | UNITED CONNECTIONS FOSTER FAMILY AGENCY, INC.
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 11626 STERLING AVE SUITE E
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City | RIVERSIDE
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State | CA
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Zip | 92503-4991
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Country | US
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Telephone | 951-358-0800
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Fax | 951-358-0900
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Provider Business Mailing Address
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Address Line | 11626 STERLING AVE SUITE E
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City | RIVERSIDE
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State | CA
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Zip | 92503-4991
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Country | US
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Telephone | 951-358-0800
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Fax | 951-358-0900
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Authorized Official
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Title or Position | CEO
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Name | BJ SINGLETON
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Credential |
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Telephone | 951-358-0800
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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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