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General NPI Number Information
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NPI Number | 1891347001
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Entity Type | Individual
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Provider Name | DACHE MARKES FANCE
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Gender | Male
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 889 DIANA AVE
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City | POMONA
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State | CA
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Zip | 91766-6216
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Country | US
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Telephone | 213-214-5602
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Fax |
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Provider Business Mailing Address
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Address Line | 13001 RAMONA BLVD
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City | BALDWIN PARK
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State | CA
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Zip | 91706-3752
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Country | US
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Telephone | 626-349-0361
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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