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NPI 1003149162

NPI 1003149162 : JOHN GARZA NP, LCSW : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1003149162
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN GARZA NP, LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/08/2009
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    5121 STOCKDALE HWY STE 212 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-2664
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    Country              |    US
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    Telephone            |    661-473-1500
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    Fax                  |    661-412-0364
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Provider Business Mailing Address
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    Address Line         |    11607 JUBILEE LN 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-8637
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    Country              |    US
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    Telephone            |    928-707-0732
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LCS25250
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    95028051
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    License Number State |    CA
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