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General NPI Number Information
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NPI Number | 1447464383
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Entity Type | Individual
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Provider Name | ANGELE' NICOLE SUAREZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 1961 LAS PLUMAS AVE
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City | SAN JOSE
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State | CA
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Zip | 95133-1741
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Country | US
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Telephone | 408-251-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 6302 CULVERT DR
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City | SAN JOSE
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State | CA
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Zip | 95123-4839
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Country | US
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Telephone | 831-236-2115
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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 | LCSW78961
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License Number State | CA
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