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General NPI Number Information
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NPI Number | 1194537944
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Entity Type | Individual
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Provider Name | LOURDES CASTRO-RAMIREZ CSW
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 556 E 300 S STE 108
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City | AMERICAN FORK
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State | UT
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Zip | 84003-3844
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Country | US
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Telephone | 801-980-2566
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Fax |
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Provider Business Mailing Address
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Address Line | 442 W 1430 S UNIT 223
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City | OREM
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State | UT
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Zip | 84058-7395
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Country | US
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Telephone | 530-838-0096
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11163348-3502
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License Number State | UT
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