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General NPI Number Information
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NPI Number | 1942431788
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Entity Type | Organization
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Legal Business Name | TREATMENT & DEVELOPMENT, INC.
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 902 N LINDEN AVE
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City | RIALTO
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State | CA
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Zip | 92376-3804
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Country | US
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Telephone | 909-429-4418
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Fax | 909-429-4418
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Provider Business Mailing Address
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Address Line | 6028 KOA DR
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City | RIALTO
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State | CA
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Zip | 92377-4036
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Country | US
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Telephone | 714-454-1255
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Fax | 949-545-6874
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL W PETERS
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Credential | PH.D., J.D.
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Telephone | 714-454-1255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 366408869
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 366406349
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 366413139
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License Number State | CA
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