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General NPI Number Information
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NPI Number | 1881411288
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Entity Type | Individual
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Provider Name | PATTYE DARLENNE AUDEVES
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Gender | Female
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 815 E LATHAM AVE
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City | HEMET
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State | CA
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Zip | 92543-4344
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Country | US
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Telephone | 951-465-3664
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Fax | 951-972-8551
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Provider Business Mailing Address
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Address Line | 455 E 7TH ST SPC 22
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City | SAN JACINTO
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State | CA
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Zip | 92583-4803
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Country | US
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Telephone | 951-772-1151
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Fax | 951-972-8551
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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