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General NPI Number Information
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NPI Number | 1720726730
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Entity Type | Organization
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Legal Business Name | HABITAT FOR HUMANITY YUBA/SUTTER INC.
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 1111 N BEALE RD
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City | MARYSVILLE
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State | CA
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Zip | 95901-6107
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Country | US
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Telephone | 530-742-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 202 D ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-5919
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Country | US
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Telephone | 530-742-2727
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH HALE
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Credential |
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Telephone | 530-742-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 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 #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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