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General NPI Number Information
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NPI Number | 1740926955
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Entity Type | Individual
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Provider Name | MS. PATSY JEAN LINDSEY
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Gender | Female
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 58923 BUSINESS CENTER DR STE E
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-7311
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Country | US
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Telephone | 760-365-7209
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Fax |
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Provider Business Mailing Address
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Address Line | 6577 HILLSIDE AVE
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277-3227
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Country | US
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Telephone | 909-534-9317
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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