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General NPI Number Information
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NPI Number | 1790807345
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Entity Type | Organization
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Legal Business Name | RIVER OAK CENTER FOR CHILDREN
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 5404 LAUREL HILLS DR
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City | SACRAMENTO
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State | CA
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Zip | 95841-3106
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Country | US
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Telephone | 916-609-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 TRUXEL RD APT 5
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City | SACRAMENTO
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State | CA
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Zip | 95834-3715
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Country | US
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Telephone | 916-285-7932
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Fax |
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Authorized Official
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Title or Position | SKILLS TRAINER
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Name | MS. TARA MARIE REICHEG
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Credential |
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Telephone | 916-609-6340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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