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General NPI Number Information
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NPI Number | 1871349175
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Entity Type | Organization
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Legal Business Name | EMERGENCY FOOD BANK
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 7 W SCOTTS AVE
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City | STOCKTON
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State | CA
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Zip | 95203-3431
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Country | US
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Telephone | 209-464-7369
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Fax |
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Provider Business Mailing Address
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Address Line | 7 W SCOTTS AVE
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City | STOCKTON
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State | CA
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Zip | 95203-3431
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Country | US
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Telephone | 209-464-7369
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Fax |
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Authorized Official
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Title or Position | NUTRITION EDUCATION PROGRAM MANAGER
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Name | ALANA MORENO
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Credential |
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Telephone | 209-464-7369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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