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General NPI Number Information
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NPI Number | 1821232752
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Entity Type | Organization
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Legal Business Name | WAKEUP CALL, INC.
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 5325 ENGLE RD SUITE 835
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City | CARMICHAEL
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State | CA
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Zip | 95608-3091
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Country | US
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Telephone | 916-569-5928
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Fax | 866-310-8868
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Provider Business Mailing Address
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Address Line | PO BOX 293744
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City | SACRAMENTO
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State | CA
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Zip | 95829-3744
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | THEO NKWOPARA
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Credential |
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Telephone | 916-596-5928
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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 | 924
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License Number State | CA
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