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General NPI Number Information
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NPI Number | 1467975110
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Entity Type | Individual
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Provider Name | AMANDA L GUZMAN LMSW, CSW-INTERN
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Gender | Female
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 7361 PRAIRIE FALCON RD
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City | LAS VEGAS
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State | NV
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Zip | 89128-0823
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Country | US
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Telephone | 702-294-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 4217 MASSERIA CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-3663
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Country | US
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Telephone | 909-374-2759
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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 | IC-2871
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License Number State | NV
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