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General NPI Number Information
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NPI Number | 1104248715
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Entity Type | Individual
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Provider Name | BABETTE MAISS CMT,CLT
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Gender | Female
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 13 WILLIAMSBURG LN
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City | CHICO
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State | CA
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Zip | 95926-2225
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Country | US
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Telephone | 530-321-5668
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Fax |
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Provider Business Mailing Address
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Address Line | 4280 GREEN MEADOW LN
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City | CHICO
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State | CA
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Zip | 95973-9231
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Country | US
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Telephone | 530-321-5668
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 31518
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number | C70689
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CA
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