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General NPI Number Information
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NPI Number | 1609179431
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Entity Type | Organization
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Legal Business Name | KERN COUNTY MENTAL HEALTH
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 5121 STOCKDALE HWY STE 275 5121 STOCKDALE HWY SUITE #275
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2667
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Country | US
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Telephone | 661-868-5004
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Fax | 661-836-8834
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Provider Business Mailing Address
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Address Line | 5121 STOCKDALE HWY STE 275 5121 STOCKDALE HWY SUITE #275
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2667
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Country | US
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Telephone | 661-868-5004
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Fax | 661-836-8834
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Authorized Official
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Title or Position | RECOVERY SPECIALIST II
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Name | MRS. DOROTHY LOU JONES
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Credential |
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Telephone | 661-868-5004
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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 | CA
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Taxonomy #2
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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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