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General NPI Number Information
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NPI Number | 1881175081
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Entity Type | Organization
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Legal Business Name | T&K INNOVATORS
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 08/25/2018
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Provider Practice Location Address
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Address Line | 208 W MAIN ST STE P2
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City | VISALIA
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State | CA
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Zip | 93291-6267
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Country | US
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Telephone | 323-397-4758
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Fax |
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Provider Business Mailing Address
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Address Line | 3755 W FLAGSTAFF AVE
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City | VISALIA
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State | CA
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Zip | 93291-9373
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Country | US
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Telephone | 323-397-4758
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BARBARA VALENZUELA
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Credential |
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Telephone | 323-397-4758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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