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General NPI Number Information
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NPI Number | 1871374728
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Entity Type | Organization
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Legal Business Name | HERS- HELPING EMPOWER REENTRY SERVICES
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 10200 SEYMOUR ST
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City | CASTROVILLE
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State | CA
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Zip | 95012-2605
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Country | US
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Telephone | 831-215-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 266 RESERVATION ROAD STE F PMB 369
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City | MARINA
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State | CA
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Zip | 93933
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Country | US
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Telephone | 831-215-6655
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MONIQUE ANTOINETTE RODRIGUEZ
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Credential |
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Telephone | 831-261-1661
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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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