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General NPI Number Information
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NPI Number | 1063230977
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Entity Type | Individual
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Provider Name | ARACELI GUZMAN SUDRC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1496 N BEALE RD
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City | MARYSVILLE
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State | CA
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Zip | 95901-6205
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Country | US
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Telephone | 530-749-8640
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Fax | 530-749-8646
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Provider Business Mailing Address
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Address Line | 1190 WILLOW GLEN DR
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City | YUBA CITY
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State | CA
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Zip | 95991-1523
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Country | US
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Telephone | 916-230-1678
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16431
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License Number State | CA
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