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General NPI Number Information
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NPI Number | 1598110488
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Entity Type | Individual
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Provider Name | AURA M MUNGUIA
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Gender | Female
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 4820 BUSINESS CENTER DR STE 110
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City | FAIRFIELD
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State | CA
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Zip | 94534-1907
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Country | US
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Telephone | 707-703-5075
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Fax |
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Provider Business Mailing Address
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Address Line | 911 N BUFFALO DR SUITE 213
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City | LAS VEGAS
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State | NV
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Zip | 89128-0379
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Country | US
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Telephone | 702-942-1774
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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 | ASW127434
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License Number State | CA
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