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General NPI Number Information
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NPI Number | 1902048085
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Entity Type | Organization
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Legal Business Name | I CAN TOO LEARNING CENTER, INC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 1520 PARKMOOR AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95128-2422
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Country | US
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Telephone | 408-241-9911
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Fax | 408-241-7788
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Provider Business Mailing Address
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Address Line | 1520 PARKMOOR AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95128-2422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OFFICE MANAGMENT
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Name | SARA GALLAGHER
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Credential |
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Telephone | 408-241-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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