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General NPI Number Information
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NPI Number | 1982207262
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Entity Type | Individual
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Provider Name | MARIA GUADALUPE DAVIS MSW, ACSW
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 1616 W SHAW AVE STE B2
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City | FRESNO
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State | CA
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Zip | 93711-3513
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Country | US
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Telephone | 559-293-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 W SHAW AVE STE B2
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City | FRESNO
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State | CA
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Zip | 93711-3513
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW85496
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License Number State | CA
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