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General NPI Number Information
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NPI Number | 1861279556
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Entity Type | Individual
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Provider Name | LUCIA GUADALUPE GUZMAN-MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 3901 S FIFE ST STE 301
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City | TACOMA
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State | WA
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Zip | 98409-7309
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Country | US
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Telephone | 253-589-5334
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Fax | 253-584-0770
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Provider Business Mailing Address
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Address Line | 5410 N 44TH ST
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City | TACOMA
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State | WA
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Zip | 98407-3799
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Country | US
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Telephone | 253-759-9544
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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