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General NPI Number Information
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NPI Number | 1891318762
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Entity Type | Individual
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Provider Name | PATRICIA CLIFFORD CADC-I
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Gender | Female
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 05/26/2020
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Provider Practice Location Address
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Address Line | 8950 CAL CENTER DR STE 160
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City | SACRAMENTO
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State | CA
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Zip | 95826-3225
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Country | US
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Telephone | 169-273-3914
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Fax | 916-376-7467
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Provider Business Mailing Address
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Address Line | 3608 KESWICK WAY
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City | SACRAMENTO
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State | CA
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Zip | 95826-5244
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Country | US
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Telephone | 916-410-5340
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CI28411019
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License Number State | CA
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