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General NPI Number Information
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NPI Number | 1003423401
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Entity Type | Individual
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Provider Name | CYNTHIA LEE PILACZYNSKI LNR2600611
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Gender | Female
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 162 E CARSON ST STE A
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City | COLUSA
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State | CA
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Zip | 95932-2880
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Country | US
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Telephone | 530-459-0530
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Fax |
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Provider Business Mailing Address
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Address Line | 3385 AMERICANA DR
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City | YUBA CITY
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State | CA
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Zip | 95993-9421
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Country | US
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Telephone | 530-300-2844
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LNR2600611
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LNR2600611
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License Number State | CA
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