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General NPI Number Information
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NPI Number | 1962238964
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Entity Type | Organization
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Legal Business Name | HENRIETTA WEILL MEMORIAL CHILD GUIDANCE CLINIC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 2001 WHEELAN CT
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4975
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Country | US
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Telephone | 661-370-6755
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Fax |
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Provider Business Mailing Address
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Address Line | 3628 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2153
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Country | US
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Telephone | 661-322-1021
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Fax |
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Authorized Official
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Title or Position | HR MANAGER
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Name | CANDY COATS
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Credential |
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Telephone | 661-322-1021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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