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General NPI Number Information
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NPI Number | 1356221782
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Entity Type | Individual
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Provider Name | DAISY LISETH LANUZA QUINONES
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Gender | Female
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1889 LAWRENCE RD
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City | SANTA CLARA
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State | CA
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Zip | 95051-2166
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Country | US
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Telephone | 408-423-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 W CAMPBELL AVE APT 6
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City | CAMPBELL
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State | CA
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Zip | 95008-1738
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Country | US
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Telephone | 408-791-7206
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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 | 131155
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License Number State | CA
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