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General NPI Number Information
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NPI Number | 1326607920
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Entity Type | Individual
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Provider Name | FABIO EUGENIO BESU PASTOR
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Gender | Male
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | UC DAVIS EARLY PSYCHOSIS PROGRAM 2230 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817
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Country | US
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Telephone | 916-734-3350
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Fax | 916-734-7539
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Provider Business Mailing Address
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Address Line | 19 CALLE PERAL EDIFICIO LA PALMA SUITE 3-E
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-948-8428
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Fax | 787-935-7163
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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