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General NPI Number Information
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NPI Number | 1154805679
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Entity Type | Individual
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Provider Name | JENNIFER ARAIZA CAZARES ACSW, PPSC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 7801 TITAN DR
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City | ANTELOPE
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State | CA
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Zip | 95843-6037
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Country | US
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Telephone | 916-726-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 212 DELTA LEAF WAY
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City | SACRAMENTO
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State | CA
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Zip | 95838-1865
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | F7169409
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127256
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License Number State | CA
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