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General NPI Number Information
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NPI Number | 1033221262
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Entity Type | Individual
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Provider Name | JOHN D PEARSON PA
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 2111 AIRPARK DR
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City | REDDING
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State | CA
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Zip | 96001-2433
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Country | US
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Telephone | 530-247-3733
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Fax | 530-246-0644
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Provider Business Mailing Address
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Address Line | 1425 MONTGOMERY RD
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City | RED BLUFF
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State | CA
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Zip | 96080-4605
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Country | US
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Telephone | 530-528-8600
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Fax | 530-246-0644
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | NP10506
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | PA14973
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | NP10506
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | PA14973
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License Number State | CA
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