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General NPI Number Information
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NPI Number | 1952952632
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Entity Type | Individual
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Provider Name | MINAXI M PATEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 5405 STOCKDALE HWY STE 110
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2500
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Country | US
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Telephone | 661-367-8493
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Fax |
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Provider Business Mailing Address
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Address Line | 10308 CORAM DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3739
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Country | US
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Telephone | 661-472-0734
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW87280
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License Number State | CA
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