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General NPI Number Information
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NPI Number | 1841352572
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Entity Type | Individual
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Provider Name | JOANNE ROUX M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 RIDGETOP DR # 215
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City | REDDING
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State | CA
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Zip | 96003-3268
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Country | US
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Telephone | 530-241-1608
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 COURT ST STE F
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City | REDDING
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State | CA
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Zip | 96001-1807
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Country | US
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Telephone | 530-241-7987
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C50905
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License Number State | CA
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