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General NPI Number Information
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NPI Number | 1649670191
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Entity Type | Individual
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Provider Name | ISAURA LUCATERO M.S.W, L.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 2100 GENG RD
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City | PALO ALTO
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State | CA
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Zip | 94303-3343
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Country | US
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Telephone | 833-435-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2819 W MARCH LN STE B6-221
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City | STOCKTON
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State | CA
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Zip | 95219-8209
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Country | US
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Telephone | 833-435-7600
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 81406
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License Number State | CA
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