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General NPI Number Information
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NPI Number | 1750865549
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Entity Type | Individual
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Provider Name | ANA MARIA AMBRIZ-GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 10700 MACARTHUR BLVD BLDG 7
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City | OAKLAND
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State | CA
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Zip | 94605-5298
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Country | US
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Telephone | 510-568-5849
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Fax | 510-382-1632
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Provider Business Mailing Address
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Address Line | 10700 MACARTHUR BLVD BLDG 7
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City | OAKLAND
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State | CA
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Zip | 94605-5298
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Country | US
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Telephone | 510-568-5849
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Fax | 510-382-1632
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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 |
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License Number State | CA
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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 | 96177
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License Number State | CA
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