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General NPI Number Information
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NPI Number | 1831449081
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Entity Type | Organization
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Legal Business Name | MULTILEVEL APPLICATIONA AND POSITIVE SUPPORT SERVICES
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 5500 MING AVE 228
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4689
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Country | US
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Telephone | 661-397-4777
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Fax | 661-397-4277
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Provider Business Mailing Address
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Address Line | 5500 MING AVE 228
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4689
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Country | US
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Telephone | 661-397-4777
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Fax | 661-397-4277
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MRS. PAMELA A GARDE
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Credential |
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Telephone | 661-397-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 40078
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License Number State | CA
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Taxonomy #2
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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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