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General NPI Number Information
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NPI Number | 1639051774
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Entity Type | Individual
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Provider Name | GEMMA A INGUANTA MSW
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 232 S WHITCOMB ST
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City | FORT COLLINS
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State | CO
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Zip | 80521-2642
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Country | US
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Telephone | 516-314-1751
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Fax |
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Provider Business Mailing Address
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Address Line | 3532 NE 8TH AVE
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City | PORTLAND
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State | OR
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Zip | 97212-2116
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Country | US
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Telephone | 516-314-1751
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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 |
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License Number State | OR
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