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General NPI Number Information
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NPI Number | 1710252754
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Entity Type | Individual
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Provider Name | ARTURO MACLIZ SALAZAR LAADC, MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 941 SPRING ST STE 5
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City | PLACERVILLE
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State | CA
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Zip | 95667-4546
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Country | US
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Telephone | 530-409-2927
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3513
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City | DIAMOND SPRINGS
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State | CA
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Zip | 95619-3513
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Country | US
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Telephone | 916-717-3594
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 75000
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | S1301291433
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 107860
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107860
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 190270138
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 75000
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License Number State | CA
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