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General NPI Number Information
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NPI Number | 1427816008
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Entity Type | Organization
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Legal Business Name | TERRI JOAN DREW
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 120 PLEASANT HILL AVE N STE 200I
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City | SEBASTOPOL
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State | CA
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Zip | 95472-3167
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Country | US
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Telephone | 707-321-0231
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Fax | 707-401-1138
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Provider Business Mailing Address
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Address Line | PO BOX 452
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City | SAINT HELENA
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State | CA
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Zip | 94574-0452
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Country | US
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Telephone | 707-321-0231
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Fax | 707-401-1138
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Authorized Official
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Title or Position | OWNER
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Name | TERRI JOAN DREW
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Credential |
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Telephone | 707-321-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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