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General NPI Number Information
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NPI Number | 1720117971
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Entity Type | Organization
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Legal Business Name | PETE HERRON
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1812 LAUREL OAK DR
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City | MODESTO
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State | CA
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Zip | 95354-1625
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Country | US
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Telephone | 209-558-8145
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 LAUREL OAK DR
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City | MODESTO
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State | CA
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Zip | 95354-1625
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Country | US
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Telephone | 209-558-8145
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Fax |
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Authorized Official
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Title or Position | MFTI
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Name | MR. PETE HERRON
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Credential |
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Telephone | 209-558-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1234567
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License Number State | CA
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