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General NPI Number Information
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NPI Number | 1205762226
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Entity Type | Individual
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Provider Name | YASEL MENDOZA PATTERSON
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Gender | Male
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 4567 W TETAKUSIM RD
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City | TUCSON
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State | AZ
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Zip | 85746-9713
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Country | US
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Telephone | 520-879-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 6408 E STAR MICA ST
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City | TUCSON
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State | AZ
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Zip | 85756-8330
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Country | US
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Telephone | 520-808-9274
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-23858
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License Number State | AZ
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