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General NPI Number Information
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NPI Number | 1699447466
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Entity Type | Organization
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Legal Business Name | HESED CHRISTIAN MINISTRIES
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 425 MOONCREST LN
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City | SANTA MARIA
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State | CA
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Zip | 93455-3765
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Country | US
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Telephone | 805-937-5920
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Fax | 805-937-5901
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Provider Business Mailing Address
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Address Line | 1130 E CLARK AVE STE 150-277
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City | SANTA MARIA
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State | CA
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Zip | 93455-5178
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Country | US
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Telephone | 805-937-5475
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Fax | 805-937-5473
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ADRIAN R COOKS
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Credential |
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Telephone | 805-714-4651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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