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General NPI Number Information
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NPI Number | 1669734182
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL EVALUATION SERVICES
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 3550 WATT AVE SUITE 140
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City | SACRAMENTO
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State | CA
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Zip | 95821-2667
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Country | US
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Telephone | 916-641-7711
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Fax | 916-641-7727
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Provider Business Mailing Address
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Address Line | 3550 WATT AVE SUITE 140
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City | SACRAMENTO
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State | CA
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Zip | 95821-2667
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Country | US
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Telephone | 916-641-7711
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Fax | 916-641-7727
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Authorized Official
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Title or Position | CERTIFIED VOCATIONAL EVALUATOR
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Name | DR. AUGUSTO PENAFIEL
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Credential | PSY.D, CVE
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Telephone | 916-641-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | CVE00059030
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License Number State | CA
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