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General NPI Number Information
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NPI Number | 1700691813
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Entity Type | Organization
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Legal Business Name | RED RABBIT ENTERPRISES
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 214 W LINCOLN RD
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City | STOCKTON
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State | CA
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Zip | 95207-2729
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Country | US
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Telephone | 209-636-8289
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 692713
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City | STOCKTON
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State | CA
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Zip | 95269-2713
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Country | US
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Telephone | 209-636-8289
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JESSICA VELEZ
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Credential |
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Telephone | 209-636-8289
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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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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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