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General NPI Number Information
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NPI Number | 1649094277
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Entity Type | Individual
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Provider Name | TERESA ALDRETE
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 4000 ORANGE ST
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City | RIVERSIDE
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State | CA
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Zip | 92501-3613
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Country | US
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Telephone | 951-955-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 901 VIA CARTAGO APT 104
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City | RIVERSIDE
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State | CA
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Zip | 92507-6260
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Country | US
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Telephone | 951-479-7752
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ACSW122773
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License Number State | CA
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