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General NPI Number Information
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NPI Number | 1598579997
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Entity Type | Individual
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Provider Name | PAOLA DELTORO
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1530 3RD ST STE 106
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City | LINCOLN
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State | CA
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Zip | 95648-2500
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Country | US
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Telephone | 916-209-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 406 SUNRISE AVE UNIT 100
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City | ROSEVILLE
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State | CA
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Zip | 95661-4106
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Country | US
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Telephone | 916-782-3737
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-IGUBAJ
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License Number State | CA
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