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General NPI Number Information
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NPI Number | 1801144142
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Entity Type | Organization
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Legal Business Name | PACITA R ADUCAYEN INCORPORATED
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 2250 GLADSTONE DR STE 2
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City | PITTSBURG
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State | CA
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Zip | 94565-5124
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Country | US
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Telephone | 925-432-6208
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Fax | 925-432-0134
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Provider Business Mailing Address
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Address Line | 2250 GLADSTONE DR STE 2
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City | PITTSBURG
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State | CA
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Zip | 94565-5124
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Country | US
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Telephone | 925-432-6208
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PACITA R ADUCAYEN
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Credential | MD
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Telephone | 925-432-6208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A049795
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License Number State | CA
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