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General NPI Number Information
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NPI Number | 1598640674
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Entity Type | Individual
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Provider Name | AMELIA FAITH GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 5297 MAUREEN LN
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City | MOORPARK
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State | CA
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Zip | 93021-7125
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Country | US
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Telephone | 805-378-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 277 LOS ALTOS WALK
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City | VENTURA
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State | CA
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Zip | 93004-2902
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Country | US
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Telephone | 805-258-8938
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 220286921
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License Number State | CA
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