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General NPI Number Information
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NPI Number | 1902700792
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Entity Type | Organization
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Legal Business Name | SAN DIEGO COMMUNITY ACADEMY
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 415 31ST ST
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City | SAN DIEGO
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State | CA
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Zip | 92102-4236
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Country | US
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Telephone | 619-525-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 415 31ST ST
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City | SAN DIEGO
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State | CA
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Zip | 92102-4236
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Country | US
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Telephone | 619-525-7320
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | LAURA MAY
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Credential |
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Telephone | 619-255-1511
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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 | NULL
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