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General NPI Number Information
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NPI Number | 1295306702
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Entity Type | Individual
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Provider Name | MISS PATRICIA-ROSE PEREZ
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 137 N COTTONWOOD ST
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City | WOODLAND
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State | CA
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Zip | 95695-6646
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Country | US
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Telephone | 530-908-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 WALNUT AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-5461
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Country | US
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Telephone | 530-391-7045
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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 | 132543
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License Number State | CA
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