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General NPI Number Information
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NPI Number | 1699403345
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Entity Type | Individual
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Provider Name | GWYNETH OLIVIA TRUMAN
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Gender | Female
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 13001 RAMONA BLVD
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City | IRWINDALE
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State | CA
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Zip | 91706-3752
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Country | US
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Telephone | 626-480-8107
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Fax |
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Provider Business Mailing Address
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Address Line | 13001 RAMONA BLVD STE E
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City | IRWINDALE
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State | CA
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Zip | 91706-3752
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Country | US
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Telephone | 909-593-2581
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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 | 123740
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License Number State | CA
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