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General NPI Number Information
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NPI Number | 1710439559
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Entity Type | Organization
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Legal Business Name | FRED FINCH YOUTH CENTER CARES
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 8787 COMPLEX DR STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92123-1453
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Country | US
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Telephone | 619-797-1090
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Fax | 858-444-8827
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Provider Business Mailing Address
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Address Line | 8787 COMPLEX DR STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92123-1453
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Country | US
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Telephone | 619-797-1090
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Fax | 858-444-8827
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Authorized Official
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Title or Position | BUSINESS DEVELOPMENT ANALYST
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Name | KRISTEN L MURPHY
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Credential |
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Telephone | 858-354-1389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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