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General NPI Number Information
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NPI Number | 1851710529
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Entity Type | Organization
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Legal Business Name | NATIONAL EDUCATION ENRICHMENT DEVELOPMENT SERVICES INC
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 1104 CORPORATE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-395-4428
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Fax | 916-395-4438
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Provider Business Mailing Address
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Address Line | PO BOX 661026
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City | SACRAMENTO
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State | CA
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Zip | 95866-1026
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Country | US
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Telephone | 916-395-4428
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Fax | 916-395-4438
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. KALA THOMPSON-TAYLOR
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Credential | PSYD
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Telephone | 916-395-4427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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