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NPI 1699582528

NPI 1699582528 : RAMON A SALGADO SUD COUNSELOR : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1699582528
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    Entity Type          |    Individual 
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    Provider Name        |    RAMON A SALGADO SUD COUNSELOR
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/13/2024
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    Last Update Date     |    12/14/2024
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Provider Practice Location Address
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    Address Line         |    3117 WILSON RD 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93304-5319
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    Country              |    US
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    Telephone            |    661-324-4756
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1625 PACIFIC ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93305-4814
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    Country              |    US
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    Telephone            |    661-474-5453
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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       |    R1577580824
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    License Number State |    CA
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