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General NPI Number Information
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NPI Number | 1639013881
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Entity Type | Organization
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Legal Business Name | PACOIMA CHARTER SCHOOL
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 11016 NORRIS AVE
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City | PACOIMA
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State | CA
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Zip | 91331-2569
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Country | US
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Telephone | 818-899-0201
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Fax |
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Provider Business Mailing Address
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Address Line | 11016 NORRIS AVE
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City | PACOIMA
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State | CA
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Zip | 91331-2569
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Country | US
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Telephone | 818-899-0201
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Fax |
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Authorized Official
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Title or Position | FAMILY & STUDENT SERVICES DIRECTOR
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Name | DAVID MORENO
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Credential | LCSW
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Telephone | 818-897-5102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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