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General NPI Number Information
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NPI Number | 1124372545
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Entity Type | Individual
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Provider Name | CYNTHIA VALENZUELA
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Gender | Female
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 633 YOLO CT
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City | SAN JOSE
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State | CA
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Zip | 95136-1919
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Country | US
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Telephone | 831-235-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 633 YOLO CT
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City | SAN JOSE
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State | CA
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Zip | 95136-1919
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Country | US
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Telephone | 831-235-3171
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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 | LCSW95014
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License Number State | CA
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