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General NPI Number Information
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NPI Number | 1790120392
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Entity Type | Organization
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Legal Business Name | STILLPOINT FAMILY RESOURCES
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 6740 FALLBROOK AVE SUITE 107
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City | WEST HILLS
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State | CA
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Zip | 91307-3935
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Country | US
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Telephone | 818-704-1327
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Fax | 818-704-9117
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Provider Business Mailing Address
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Address Line | PO BOX 5103
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City | WEST HILLS
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State | CA
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Zip | 91308-5103
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Country | US
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Telephone | 818-704-1327
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Fax | 818-704-9117
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROSS PORTER
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Credential | PHD
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Telephone | 818-704-1327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 63802
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License Number State | CA
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