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General NPI Number Information
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NPI Number | 1922158518
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Entity Type | Organization
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Legal Business Name | RETREAT FOR CHILDREN INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8339 CYPRESS CT
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City | DUBLIN
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State | CA
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Zip | 94568-1247
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Country | US
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Telephone | 925-556-3399
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Fax | 925-556-1203
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Provider Business Mailing Address
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Address Line | 8339 CYPRESS CT
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City | DUBLIN
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State | CA
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Zip | 94568-1247
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Country | US
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Telephone | 925-556-3399
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Fax | 925-556-1203
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER JONES
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Credential |
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Telephone | 925-556-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | CA
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