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General NPI Number Information
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NPI Number | 1720432834
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Entity Type | Organization
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Legal Business Name | EMQ FAMILIES FIRST
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 9343 TECH CENTER DR
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City | SACRAMENTO
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State | CA
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Zip | 95826-2563
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Country | US
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Telephone | 916-388-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 9343 TECH CENTER DR
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City | SACRAMENTO
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State | CA
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Zip | 95826-2563
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Country | US
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Telephone | 916-388-6400
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MR. DANIEL LEVELLE WILSON
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Credential | MASTERS
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Telephone | 916-583-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 253J00000X FOSTER
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License Number State | CA
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