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General NPI Number Information
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NPI Number | 1942081740
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Entity Type | Organization
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Legal Business Name | DAY BREAK FAMILY SERVICES
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 1251 GROVE AVE STE E
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City | ATWATER
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State | CA
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Zip | 95301-3653
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Country | US
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Telephone | 209-357-0765
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Fax | 209-357-2580
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Provider Business Mailing Address
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Address Line | 1251 GROVE AVE STE E
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City | ATWATER
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State | CA
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Zip | 95301-3653
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Country | US
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Telephone | 93-570-7652
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Fax | 209-357-2580
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. MICHAEL CHAI
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Credential |
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Telephone | 209-357-0765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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