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General NPI Number Information
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NPI Number | 1568514966
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Entity Type | Individual
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Provider Name | GUADALUPE CID MSW ASW 18886
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 5030 EL CAMINO AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-4650
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Country | US
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Telephone | 916-609-4918
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Fax | 916-609-5160
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Provider Business Mailing Address
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Address Line | PO BOX 188544
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City | SACRAMENTO
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State | CA
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Zip | 95818-8544
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW18886
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License Number State | CA
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