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General NPI Number Information
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NPI Number | 1750873717
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Entity Type | Organization
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Legal Business Name | FOCUS FORWARD
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 732 N. VAN NESS AVE
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City | FRESNO
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State | CA
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Zip | 93728
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Country | US
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Telephone | 559-237-3101
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Fax | 559-600-4895
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Provider Business Mailing Address
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Address Line | 3333 E. AMERICAN AVE SUITE B
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City | FRESNO
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State | CA
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Zip | 93725
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Country | US
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Telephone | 559-600-4961
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Fax | 559-600-4895
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | COREEN CAMPOS
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Credential |
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Telephone | 559-600-4961
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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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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 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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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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