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General NPI Number Information
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NPI Number | 1871389676
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Entity Type | Organization
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Legal Business Name | BAYOU ENVIRONMENTAL JUSTICE COALITION
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 724 MICHELBOOK LN
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City | RIO VISTA
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State | CA
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Zip | 94571-5118
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Country | US
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Telephone | 707-997-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 325 MERGANSER DR
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City | SUISUN CITY
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State | CA
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Zip | 94585-7089
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Country | US
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Telephone | 707-997-2799
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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 | MRS. QUISHA L REED-JONES
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Credential |
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Telephone | 707-997-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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