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General NPI Number Information
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NPI Number | 1790808103
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Entity Type | Organization
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Legal Business Name | COMMUNITY RESEARCH FOUNDATION, INC.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 1196 THIRD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911
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Country | US
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Telephone | 619-427-4661
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Fax | 619-426-7849
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Provider Business Mailing Address
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Address Line | 1196 THIRD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911-3131
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Country | US
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Telephone | 619-427-4661
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Fax | 619-426-7849
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Authorized Official
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Title or Position | CFO
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Name | MR. BOB MARCHETTI
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Credential |
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Telephone | 619-275-0822
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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 | 3709
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License Number State | CA
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