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General NPI Number Information
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NPI Number | 1982737425
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Entity Type | Organization
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Legal Business Name | SOUTH CENTRAL TRAINING CONSORTIUM, INC.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5022 W AVENUE N STE 102-21
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City | PALMDALE
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State | CA
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Zip | 93551-5757
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Country | US
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Telephone | 661-943-3708
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Fax | 661-349-4633
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Provider Business Mailing Address
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Address Line | 5022 W AVENUE N STE 102-21
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City | PALMDALE
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State | CA
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Zip | 93551-5757
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Country | US
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Telephone | 661-943-3708
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Fax | 661-349-4633
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Authorized Official
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Title or Position | CEO
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Name | DR. RHONDA BRINKLEY KENNEDY
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Credential | PSY.D.
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Telephone | 661-943-3708
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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 | 1876925
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License Number State | CA
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