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General NPI Number Information
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NPI Number | 1992711832
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Entity Type | Individual
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Provider Name | PATRICIA LOUISE NOONAN LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19747 GREENLEY RD
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City | SONORA
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State | CA
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Zip | 95370-5998
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Country | US
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Telephone | 209-588-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 23857 KIT CARSON DR
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City | TWAIN HARTE
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State | CA
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Zip | 95383-9718
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Country | US
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Telephone | 209-586-9140
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 40069
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License Number State | TX
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