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General NPI Number Information
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NPI Number | 1821971334
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Entity Type | Organization
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Legal Business Name | INCLUSIVE KIDS NETWORK
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1408 HARDING AVE
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City | NATIONAL CITY
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State | CA
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Zip | 91950-4428
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Country | US
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Telephone | 619-995-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 NATIONAL CITY BLVD APT 511
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City | NATIONAL CITY
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State | CA
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Zip | 91950-3276
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Country | US
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Telephone | 619-995-3430
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. WENDY EGAN
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Credential | AUTH OFFICIAL
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Telephone | 619-995-3430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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