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General NPI Number Information
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NPI Number | 1740128149
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Entity Type | Organization
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Legal Business Name | FIRST 5 SAN BENITO
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 351 TRES PINOS RD STE 100A
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City | HOLLISTER
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State | CA
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Zip | 95023-5588
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Country | US
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Telephone | 831-809-4904
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Fax | 831-427-7957
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Provider Business Mailing Address
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Address Line | 351 TRES PINOS RD STE 100A
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City | HOLLISTER
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State | CA
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Zip | 95023-5588
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Country | US
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Telephone | 831-809-4904
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Fax | 831-427-7957
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Authorized Official
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Title or Position | DIRECTOR OF FUNDER RELATIONS
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Name | SARAH BEATIE
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Credential |
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Telephone | 831-809-4904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 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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