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General NPI Number Information
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NPI Number | 1689938458
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Entity Type | Organization
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Legal Business Name | CENTER ON JUVENILE AND CRIMINAL JUSTICE
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 40 BOARDMAN PL
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4729
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Country | US
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Telephone | 951-258-3561
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BOARDMAN PL
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4729
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Country | US
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Telephone | 951-258-3561
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MS. MARGARET HITCHCOCK
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Credential | LMFT
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Telephone | 415-424-2543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | D6347788
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License Number State | CA
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