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General NPI Number Information
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NPI Number | 1053081679
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Entity Type | Individual
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Provider Name | MARCIA FERRANDO NAVARRO RADT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 500 JEFFERSON BLVD STE B195
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605-2350
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Country | US
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Telephone | 916-403-2970
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Fax | 530-204-5248
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Provider Business Mailing Address
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Address Line | 1141 PEAR TREE LN
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City | NAPA
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State | CA
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Zip | 94558-6484
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Country | US
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Telephone | 707-254-1770
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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 | R1445500921
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License Number State | CA
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