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General NPI Number Information
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NPI Number | 1962174250
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Entity Type | Organization
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Legal Business Name | THE SCHOLARS' GROVE
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 729 GRAHAM PEAK DR
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City | BAKERSFIELD
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State | CA
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Zip | 93314-4297
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Country | US
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Telephone | 661-717-4201
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Fax |
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Provider Business Mailing Address
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Address Line | 729 GRAHAM PEAK DR
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City | BAKERSFIELD
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State | CA
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Zip | 93314-4297
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Country | US
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Telephone | 661-717-4201
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Fax |
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Authorized Official
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Title or Position | LICENSED EDUCATIONAL PSYCHOLOGIST
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Name | AMY NOALL
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Credential | LEP
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Telephone | 661-717-4201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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