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General NPI Number Information
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NPI Number | 1184600835
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Entity Type | Individual
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Provider Name | NORMA ARACELI GOMEZ ASW, 19146
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3300 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95820-1451
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Country | US
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Telephone | 916-734-6632
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Fax | 916-734-5644
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Provider Business Mailing Address
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Address Line | 2108 KNIGHTS FERRY DR
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City | PLUMAS LAKE
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State | CA
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Zip | 95961-9070
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Country | US
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Telephone | 530-742-6622
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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 | ASW, 19164
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License Number State | CA
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