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General NPI Number Information
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NPI Number | 1942020672
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Entity Type | Organization
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Legal Business Name | RIPPLE IN KIND CARE SERVICES
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 333 GELLERT BLVD STE 128
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City | DALY CITY
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State | CA
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Zip | 94015-2694
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Country | US
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Telephone | 415-617-5110
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Fax |
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Provider Business Mailing Address
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Address Line | 333 GELLERT BLVD STE 128
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City | DALY CITY
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State | CA
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Zip | 94015-2694
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Country | US
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Telephone | 415-617-5110
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/CEO
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Name | JENNA KING
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Credential | PHD
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Telephone | 415-617-5110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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