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General NPI Number Information
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NPI Number | 1841173077
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Entity Type | Individual
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Provider Name | CLAUDIA VIZCARRA
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 6060 GRAHAM HILL RD
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City | FELTON
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State | CA
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Zip | 95018-9764
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Country | US
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Telephone | 831-219-8324
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 GLENWOOD DR
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-2631
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Country | US
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Telephone | 619-907-6566
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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 | 156567
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License Number State | CA
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