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General NPI Number Information
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NPI Number | 1891105185
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Entity Type | Organization
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Legal Business Name | IRIS MARIA PACHLER
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 7949 CALIFORNIA AVE SUITE 10
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City | FAIR OAKS
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State | CA
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Zip | 95628-7156
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Country | US
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Telephone | 530-417-5824
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Fax | 916-404-0457
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Provider Business Mailing Address
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Address Line | 7949 CALIFORNIA AVE SUITE 10
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City | FAIR OAKS
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State | CA
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Zip | 95628-7156
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Country | US
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Telephone | 530-417-5824
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Fax | 916-404-0457
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. IRIS MARIA PACHLER
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Credential | PHD
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Telephone | 530-417-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY26304
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License Number State | CA
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