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General NPI Number Information
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NPI Number | 1962736769
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Entity Type | Individual
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Provider Name | TARA PATRICE PFAFF M.S., P.P.S.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 4750 HOLLISTER AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1921
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Country | US
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Telephone | 805-967-4581
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Fax | 805-967-8358
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Provider Business Mailing Address
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Address Line | 80 WILLOW SPRINGS LN APT 202
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City | GOLETA
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State | CA
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Zip | 93117-3195
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Country | US
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Telephone | 805-967-4581
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Fax | 805-967-8358
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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 |
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License Number State |
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