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General NPI Number Information
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NPI Number | 1003634882
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Entity Type | Individual
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Provider Name | CINQUE DEVRONN WEBB
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Gender | Male
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 4411 N CEDAR AVE STE 108
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City | FRESNO
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State | CA
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Zip | 93726-2538
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Country | US
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Telephone | 559-217-0412
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Fax |
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Provider Business Mailing Address
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Address Line | 4411 N CEDAR AVE STE 108
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City | FRESNO
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State | CA
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Zip | 93726-2538
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Country | US
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Telephone | 559-248-1548
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 19604
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License Number State | CA
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