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General NPI Number Information
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NPI Number | 1659792786
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Entity Type | Organization
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Legal Business Name | EL DORADO COUNTY, DEPARTMENT OF HUMAN SERVICES
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 935A SPRING ST
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City | PLACERVILLE
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State | CA
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Zip | 95667-4543
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Country | US
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Telephone | 530-621-6278
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Fax |
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Provider Business Mailing Address
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Address Line | 3057 BRIW RD
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City | PLACERVILLE
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State | CA
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Zip | 95667-5330
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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 | INTERIM DIRECTOR
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Name | DONALD ASHTON
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Credential |
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Telephone | 530-642-5515
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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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