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General NPI Number Information
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NPI Number | 1851194310
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Entity Type | Organization
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Legal Business Name | INDIGENOUS FUTURES FOUNDATION INC.
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 10354 WALNUT WAY
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City | KELSEYVILLE
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State | CA
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Zip | 95451-9554
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Country | US
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Telephone | 530-632-6881
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Fax |
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Provider Business Mailing Address
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Address Line | 705 N STATE ST # 804
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City | UKIAH
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State | CA
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Zip | 95482-3407
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Country | US
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Telephone | 530-632-6881
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATIE MARIE RAY
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Credential |
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Telephone | 530-632-6881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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