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General NPI Number Information
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NPI Number | 1710207162
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Entity Type | Organization
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Legal Business Name | TULARE COUNTY OFFICE OF EDUCATION
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 11535 AVENUE 264
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City | VISALIA
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State | CA
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Zip | 93277
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Country | US
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Telephone | 559-747-3984
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Fax | 559-747-3642
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Provider Business Mailing Address
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Address Line | 2637 W BURREL AVE PO BOX 5091
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City | VISALIA
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State | CA
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Zip | 93291-4511
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Country | US
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Telephone | 559-747-3984
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Fax | 559-747-3642
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | MR. RONALD C PEKAREK
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Credential | MA, PPS, BCBA
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Telephone | 559-747-3984
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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 |
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License Number State |
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