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NPI Code Detail

MEDICARE: SANTOS ROBERT DUQUE B.S. CATC III

MEDICARE: SANTOS ROBERT DUQUE B.S. CATC III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor2012652CA

General Provider Information

NPI Number : 1366709925
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTOS ROBERT DUQUE B.S. CATC III
Provider Business Mailing Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-600-9180
Fax Number :
Provider Business Practice Location Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-600-9180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 03/09/2026

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