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General NPI Number Information
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NPI Number | 1801663497
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Entity Type | Organization
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Legal Business Name | SAN LUIS OBISPO COUNTY CHILD ABUSE PREVENTION COUNCIL
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 3480 S HIGUERA ST STE 100
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7392
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Country | US
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Telephone | 805-466-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 7343 EL CAMINO REAL # 346
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City | ATASCADERO
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State | CA
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Zip | 93422-4697
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Country | US
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Telephone | 805-466-5404
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Fax |
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Authorized Official
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Title or Position | CHIEF FISCAL OFFICER
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Name | KAROLYN MARIE KINSEY
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Credential |
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Telephone | 805-466-5404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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