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General NPI Number Information
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NPI Number | 1295404135
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Entity Type | Individual
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Provider Name | JENNIFER GOMEZ DURAN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 3105 WILSON RD
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City | BAKERSFIELD
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State | CA
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Zip | 93304-5319
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Country | US
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Telephone | 661-397-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 501 CALLE ORLANDO
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City | ARVIN
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State | CA
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Zip | 93203-2771
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Country | US
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Telephone | 661-557-0314
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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 | 105153
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 132295
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License Number State | CA
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