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General NPI Number Information
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NPI Number | 1649139056
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Entity Type | Organization
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Legal Business Name | INNER CIRCLE FOSTER FAMILY AGENCY, INC.
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 3903 TYLER AVE
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City | EL MONTE
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State | CA
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Zip | 91731-2037
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Country | US
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Telephone | 213-819-8477
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Fax |
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Provider Business Mailing Address
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Address Line | 3903 TYLER AVE
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City | EL MONTE
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State | CA
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Zip | 91731-2037
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SANDRO VILLA
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Credential |
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Telephone | 213-819-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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