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NPI 1700053329

NPI 1700053329 : KERN COUNTY AGING AND ADULT SERVICES DEPT : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1700053329
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    Entity Type          |    Organization 
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    Legal Business Name  |    KERN COUNTY AGING AND ADULT SERVICES DEPT 
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Dates
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    Enumeration Date     |    05/13/2008
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    Last Update Date     |    05/13/2008
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Provider Practice Location Address
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    Address Line         |    5357 TRUXTUN AVE 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-0641
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    Country              |    US
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    Telephone            |    661-868-1000
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    Fax                  |    661-868-1001
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Provider Business Mailing Address
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    Address Line         |    5357 TRUXTUN AVE 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-0641
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    Country              |    US
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    Telephone            |    661-868-1000
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    Fax                  |    661-868-1001
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MRS. KRIS  GRASTY 
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    Credential           |    
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    Telephone            |    661-868-1053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    MSS00029F
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    License Number State |    CA
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