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General NPI Number Information
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NPI Number | 1679487771
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Entity Type | Individual
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Provider Name | EMILY GRACIELA GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 15954 CHIWI RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-7838
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Country | US
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Telephone | 833-227-3454
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Fax |
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Provider Business Mailing Address
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Address Line | 7524 PISMO AVE
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City | HESPERIA
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State | CA
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Zip | 92345-7426
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Country | US
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Telephone | 442-646-5415
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NULL
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