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General NPI Number Information
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NPI Number | 1841838877
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Entity Type | Individual
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Provider Name | KATRINA MIA PADILLA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 3105 WILSON RD
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City | BAKERSFIELD
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State | CA
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Zip | 93304-5319
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Country | US
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Telephone | 661-397-8775
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Fax | 661-397-8286
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Provider Business Mailing Address
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Address Line | 1430 TRUXTUN AVE STE 400
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5220
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Country | US
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Telephone | 661-635-3050
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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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 | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW122833
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License Number State | CA
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