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General NPI Number Information
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NPI Number | 1518572320
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Entity Type | Individual
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Provider Name | KAREN JANETH PINON
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 302 CHERRY LN
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City | MANTECA
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State | CA
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Zip | 95337-4311
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Country | US
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Telephone | 209-647-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 S LINCOLN ST SPC F7
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City | SANTA MARIA
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State | CA
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Zip | 93458-7589
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Country | US
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Telephone | 805-406-0201
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10658
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License Number State | CA
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