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General NPI Number Information
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NPI Number | 1609689025
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Entity Type | Individual
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Provider Name | ABIGAIL NEGINA CLOBES
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 4880 MARKET ST
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City | VENTURA
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State | CA
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Zip | 93003-7783
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Country | US
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Telephone | 805-634-8521
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Fax | 805-634-8521
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Provider Business Mailing Address
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Address Line | 5480 AURORA DR APT 32
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City | VENTURA
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State | CA
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Zip | 93003-4118
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Country | US
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Telephone | 805-793-6818
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Fax | 805-793-6818
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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