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General NPI Number Information
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NPI Number | 1013320803
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Entity Type | Individual
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Provider Name | MS. JANE C. GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 852 MANZANITA CT STE 155
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City | CHICO
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State | CA
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Zip | 95926-2399
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Country | US
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Telephone | 530-361-5303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6939
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City | CHICO
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State | CA
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Zip | 95927-6939
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 146332
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License Number State | CA
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