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General NPI Number Information
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NPI Number | 1700115011
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Entity Type | Organization
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Legal Business Name | CHOSEN ONES YOUTH HOMES INC
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 501 CHESTER AVE STE A
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5405
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Country | US
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Telephone | 661-829-5930
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Fax | 661-427-0386
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Provider Business Mailing Address
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Address Line | 4450 CALIFORNIA AVE # 237
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1152
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Country | US
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Telephone | 661-829-5930
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Fax | 661-427-0386
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Authorized Official
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Title or Position | CEO
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Name | MRS. MELISSA ANN CHANG
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Credential |
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Telephone | 661-829-5930
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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 | MFC33966
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License Number State | CA
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