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General NPI Number Information
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NPI Number | 1972494078
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Entity Type | Organization
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Legal Business Name | ACADEMYSTAY
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2675 ALTOS AVE APT 2
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City | SACRAMENTO
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State | CA
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Zip | 95815-1631
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Country | US
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Telephone | 916-248-7961
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Fax | 916-248-7962
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Provider Business Mailing Address
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Address Line | 2675 ALTOS AVE APT 2
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City | SACRAMENTO
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State | CA
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Zip | 95815-1631
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Country | US
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Telephone | 916-248-7961
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Fax | 916-248-7967
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Authorized Official
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Title or Position | CEO
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Name | JENNY DAVIDSON
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Credential |
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Telephone | 916-248-7961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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