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General NPI Number Information
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NPI Number | 1609677459
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Entity Type | Individual
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Provider Name | ARLETT GUADALUPE GAMEZ
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1812 W KETTLEMAN LN STE 1
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City | LODI
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State | CA
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Zip | 95242-4209
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Country | US
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Telephone | 209-683-3427
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Fax |
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Provider Business Mailing Address
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Address Line | 925 KORALLA CT
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City | GALT
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State | CA
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Zip | 95632-3408
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Country | US
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Telephone | 209-251-5920
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 20152
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License Number State | CA
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