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General NPI Number Information
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NPI Number | 1245840016
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Entity Type | Individual
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Provider Name | MISS AMBER GABRIELLA GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 1360 S ANAHEIM BLVD
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City | ANAHEIM
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State | CA
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Zip | 92805-6258
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Country | US
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Telephone | 714-948-7641
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Fax | 714-689-1381
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Provider Business Mailing Address
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Address Line | 7358 COUNTRY CLUB DR
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City | DOWNEY
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State | CA
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Zip | 90241-2001
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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