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General NPI Number Information
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NPI Number | 1801551908
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Entity Type | Individual
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Provider Name | NATASHA TOLMACHOFF
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 1040 N PLEASANT AVE
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City | FRESNO
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State | CA
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Zip | 93728-2434
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Country | US
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Telephone | 559-899-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 505 S DEL NORTE AVE
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City | KERMAN
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State | CA
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Zip | 93630-1207
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Country | US
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Telephone | 626-923-0093
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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