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General NPI Number Information
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NPI Number | 1932613569
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Entity Type | Individual
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Provider Name | KENDRA F CUNHA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 03/26/2023
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Provider Practice Location Address
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Address Line | 1865 HERNDON AVE # K108
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City | CLOVIS
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State | CA
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Zip | 93611-6163
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Country | US
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Telephone | 559-308-4317
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Fax |
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Provider Business Mailing Address
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Address Line | 1865 HERNDON AVE # K108
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City | CLOVIS
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State | CA
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Zip | 93611-6163
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Country | US
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Telephone | 559-308-4317
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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 | 104717
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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 | 80135
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License Number State | CA
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