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NPI Code Detail

MEDICARE: MR. TOBY R PARDO RAS

MEDICARE: MR. TOBY R PARDO RAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1053433623
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TOBY R PARDO RAS
Provider Business Mailing Address
First Line : PO BOX 688
Second Line :
City : TULARE
State : CA
Zip : 93275-0688
Country : US
Telephone Number : 559-688-7531
Fax Number : 559-688-7930
Provider Business Practice Location Address
First Line : 1310 M ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1808
Country : US
Telephone Number : 559-264-2700
Fax Number : 559-264-2700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 12/18/2018

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