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NPI Code Detail

MEDICARE: PETER RAUL PAREDES

MEDICARE: PETER RAUL PAREDES
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
1225400000XRehabilitation Practitioner
2171M00000XCase Manager/Care Coordinator
3101Y00000XCounselor
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548925597
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER RAUL PAREDES
Provider Business Mailing Address
First Line : 24077 STATE HIGHWAY 49
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-8519
Country : US
Telephone Number : 530-265-9057
Fax Number :
Provider Business Practice Location Address
First Line : 24077 STATE HIGHWAY 49
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-8519
Country : US
Telephone Number : 530-265-9057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2021
Last Update Date : 12/21/2025

Similar Medicare Providers

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1730238825 — MARIAN HOUSEL-WATT
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1619015344 — MARY MIDDLETON R.N.
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1972645687 — MS. LINITA LE'VETTE MORRIS MA
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Directions to “ PETER RAUL PAREDES ” Practice Location

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