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General NPI Number Information
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NPI Number | 1760983415
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Entity Type | Individual
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Provider Name | ALEJANDRA MARIVEL VALDEZ GUZMAN
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Gender | Female
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 411 DURHAM DR
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City | HOUSTON
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State | TX
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Zip | 77007-7240
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Country | US
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Telephone | 713-861-4849
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Fax | 713-867-7742
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Provider Business Mailing Address
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Address Line | 3603 BASTROP ST 2
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City | HOUSTON
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State | TX
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Zip | 77004
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Country | US
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Telephone | 909-275-8506
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 108231
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License Number State | TX
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