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General NPI Number Information
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NPI Number | 1407769987
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Entity Type | Individual
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Provider Name | JULISA MALDONADO
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 1200 W MAIN ST STE 101
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City | TURLOCK
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State | CA
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Zip | 95380-5107
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Country | US
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Telephone | 209-722-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 524 SQUASH CREEK LN
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City | PATTERSON
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State | CA
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Zip | 95363-8768
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Country | US
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Telephone | 209-600-2346
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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 | ASW141117
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License Number State | CA
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