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General NPI Number Information
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NPI Number | 1013835412
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Entity Type | Individual
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Provider Name | JOSEPH HAMMOND DE VERA
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 4699 MURPHY CANYON RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-4320
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Country | US
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Telephone | 619-753-5933
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Fax |
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Provider Business Mailing Address
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Address Line | 313 NOCTURNE CT
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City | CHULA VISTA
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State | CA
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Zip | 91911-3633
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Country | US
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Telephone | 619-464-9625
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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