MEDICARE: DUANE UHATAFE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator
3	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1588359285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUANE UHATAFE

Provider Business Mailing Address
First Line	:	5800 VALLEY VALE WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5237
Country	:	US
Telephone Number	:	415-672-2412
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 VALLEY VALE WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5237
Country	:	US
Telephone Number	:	415-672-2412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2023
Last Update Date	:	04/18/2025

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Directions to “ DUANE UHATAFE ” Practice Location

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