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General NPI Number Information
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NPI Number | 1588597488
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Entity Type | Organization
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Legal Business Name | HARRIET TUBMAN VILLAGE CHARTER SCHOOL
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 6880 MOHAWK ST # 18
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City | SAN DIEGO
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State | CA
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Zip | 92115-1728
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Country | US
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Telephone | 858-213-5403
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Fax |
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Provider Business Mailing Address
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Address Line | 6880 MOHAWK ST # 18
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City | SAN DIEGO
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State | CA
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Zip | 92115-1728
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Country | US
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Telephone | 858-213-5403
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. ISAAC ESTRADA
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Credential | ED.D.
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Telephone | 858-213-5403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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