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General NPI Number Information
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NPI Number | 1851587224
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Entity Type | Organization
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Legal Business Name | CARING CONCERN RESIDENTIAL HOMES, INC A CA CORP
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 9002 NEATH ST
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City | VENTURA
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State | CA
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Zip | 93004-2932
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Country | US
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Telephone | 805-647-5385
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Fax | 805-627-2625
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Provider Business Mailing Address
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Address Line | 1576 JOSHUA PL
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City | CAMARILLO
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State | CA
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Zip | 93012-4433
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Country | US
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Telephone | 805-482-1576
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Fax | 805-672-2625
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ANDA R REBENSAL
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Credential | BA, QMRP
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Telephone | 805-236-8434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | CA
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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 | CA
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Taxonomy #3
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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 | CA
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Taxonomy #4
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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 | CA
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