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General NPI Number Information
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NPI Number | 1326478769
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Entity Type | Organization
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Legal Business Name | DEL REY CONSULTING LLC
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Dates
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Enumeration Date | 11/21/2013
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 3974 PROSSER ST UNITED STATES, COMMONWEAL
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-6215
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Country | US
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Telephone | 916-596-5139
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Fax |
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Provider Business Mailing Address
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Address Line | 3974 PROSSER ST UNITED STATES, COMMONWEAL
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-6215
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Country | US
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Telephone | 916-596-5139
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JEFFREY REYES
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Credential | MA
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Telephone | 916-617-2137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 69512
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 090111398
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License Number State | CA
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