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General NPI Number Information
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NPI Number | 1942968441
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Entity Type | Individual
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Provider Name | CELESTE ALONZO
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Gender | Female
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 9412 BIG HORN BLVD STE 6
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City | ELK GROVE
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State | CA
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Zip | 95758-1101
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Country | US
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Telephone | 916-609-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 627 SURREY WAY
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City | SALINAS
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State | CA
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Zip | 93905-3013
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Country | US
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Telephone | 831-261-9981
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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 | 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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 131807
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License Number State | CA
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