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General NPI Number Information
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NPI Number | 1669955431
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Entity Type | Individual
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Provider Name | FRANCELA M MARENCO MIRANDA ASW
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Gender | Female
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 24301 SOUTHLAND DR STE 207
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City | HAYWARD
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State | CA
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Zip | 94545-1541
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Country | US
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Telephone | 510-826-9209
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Fax |
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Provider Business Mailing Address
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Address Line | 1134 BLACKOAK DR
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City | MANTECA
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State | CA
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Zip | 95336-3018
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Country | US
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Telephone | 510-648-4194
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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 | 91074
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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