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General NPI Number Information
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NPI Number | 1831079615
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Entity Type | Organization
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Legal Business Name | ADVANCE KIDS
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 9755 LINCOLN VILLAGE DR
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City | SACRAMENTO
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State | CA
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Zip | 95827-3334
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Country | US
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Telephone | 916-363-6103
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Fax | 916-244-0594
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Provider Business Mailing Address
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Address Line | 9755 LINCOLN VILLAGE DR
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City | SACRAMENTO
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State | CA
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Zip | 95827-3334
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Country | US
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Telephone | 916-363-6103
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Fax | 916-294-0544
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | ALESSANDRA DAL FORNO
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Credential |
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Telephone | 916-363-6103
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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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