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General NPI Number Information
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NPI Number | 1780518134
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Entity Type | Organization
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Legal Business Name | COMMUNITY RESEARCH FOUNDATION DYYFS
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 7917 OSTROW ST STE A
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City | SAN DIEGO
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State | CA
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Zip | 92111-3604
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Country | US
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Telephone | 858-300-8282
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Fax | 858-300-8284
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Provider Business Mailing Address
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Address Line | 7917 OSTROW ST STE A
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City | SAN DIEGO
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State | CA
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Zip | 92111-3604
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Country | US
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Telephone | 858-300-8282
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Fax | 858-300-8284
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Authorized Official
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Title or Position | MHRS
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Name | MS. LUCIE ALEJANDRA GONZALEZ
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Credential |
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Telephone | 858-300-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 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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