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General NPI Number Information
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NPI Number | 1598211369
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Entity Type | Individual
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Provider Name | MARIA GUADALUPE NAJERA LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 2800 LAFAYETTE RD
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3753
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Country | US
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Telephone | 323-743-3619
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2088
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City | SANTA ANA
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State | CA
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Zip | 92707-0088
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW104250
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License Number State |
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