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General NPI Number Information
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NPI Number | 1912752247
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Entity Type | Organization
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Legal Business Name | BEYOND THE STARS NO LIMITS ,INC
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 10701 GRAND PRAIRIE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9143
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Country | US
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Telephone | 661-817-5099
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Fax |
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Provider Business Mailing Address
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Address Line | 4605 BUENA VISTA RD STE 600-123
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City | BAKERSFIELD
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State | CA
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Zip | 93311-8791
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Country | US
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Telephone | 424-387-1748
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | MS. BREE L DEDMON
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Credential |
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Telephone | 424-387-1748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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