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General NPI Number Information
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NPI Number | 1710729207
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Entity Type | Organization
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Legal Business Name | KINGS COMMUNITY ACTION ORGANIZATION, INC.
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 1716 N 11TH AVE STE B
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City | HANFORD
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State | CA
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Zip | 93230-2081
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Country | US
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Telephone | 559-585-1018
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 N 11TH AVE
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City | HANFORD
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State | CA
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Zip | 93230-3608
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Country | US
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Telephone | 559-582-4386
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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 | JEFF GARNER
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Credential |
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Telephone | 559-415-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 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 #4
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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