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General NPI Number Information
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NPI Number | 1659554889
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Entity Type | Organization
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Legal Business Name | COUNTY OF HUMBOLDT
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2006 HARRISON AVE
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City | EUREKA
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State | CA
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Zip | 95501-3212
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Country | US
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Telephone | 707-445-7644
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 HARRISON AVE
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City | EUREKA
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State | CA
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Zip | 95501-3212
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Country | US
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Telephone | 707-445-7401
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF DETENTION SERVICES
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Name | DAYNA WILCOX
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Credential |
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Telephone | 707-268-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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