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NPI Code Detail

MEDICARE: CLAUDE SPARKS

MEDICARE: CLAUDE SPARKS
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) Counselor
3172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1538816244
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDE SPARKS
Provider Business Mailing Address
First Line : 448 GARDEN HWY
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6348
Country : US
Telephone Number : 530-702-0089
Fax Number :
Provider Business Practice Location Address
First Line : 448 GARDEN HWY
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6348
Country : US
Telephone Number : 530-702-0089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 12/20/2023

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Directions to “ CLAUDE SPARKS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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