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General NPI Number Information
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NPI Number | 1629738653
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Entity Type | Organization
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Legal Business Name | UNITED AND GUIDED
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 3810 BROADWAY
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City | SACRAMENTO
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State | CA
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Zip | 95817-3302
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Country | US
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Telephone | 800-707-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 BROADWAY
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City | SACRAMENTO
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State | CA
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Zip | 95817-3302
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Country | US
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Telephone | 800-707-3358
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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 | MR. IMANI LUCAS
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Credential | MS
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Telephone | 800-707-3358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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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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