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General NPI Number Information
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NPI Number | 1316127566
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Entity Type | Individual
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Provider Name | GRACIE ALDERETE ANDRADE
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Gender | Female
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 359 GABILAN DR
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City | SOLEDAD
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State | CA
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Zip | 93960-3550
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Country | US
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Telephone | 831-769-8740
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Fax | 831-678-5130
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Provider Business Mailing Address
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Address Line | 1270 NATIVIDAD RD RM 200
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City | SALINAS
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State | CA
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Zip | 93906-3122
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Country | US
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Telephone | 831-755-4510
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Fax |
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Authorized Official
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Title or Position |
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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