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General NPI Number Information
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NPI Number | 1720844566
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Entity Type | Organization
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Legal Business Name | SAFE SPACE WINTER SHELTER INC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 1907 MANGROVE AVE STE E
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City | CHICO
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State | CA
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Zip | 95926-2381
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Country | US
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Telephone | 530-715-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 236 W EAST AVE. SUITE A PMB 115
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City | CHICO
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State | CA
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Zip | 95926-7236
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Country | US
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Telephone | 530-720-4176
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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 | HILARY CROSBY
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Credential |
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Telephone | 530-715-0045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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