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General NPI Number Information
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NPI Number | 1982258885
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Entity Type | Individual
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Provider Name | MARYCRUZ SALDIVAR LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 4150 PATTERSON RD
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City | RIVERBANK
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State | CA
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Zip | 95367-3126
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Country | US
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Telephone | 209-722-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 737 W CHILDS AVE
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City | MERCED
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State | CA
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Zip | 95341-6805
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Country | US
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Telephone | 209-722-4842
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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 | 81584
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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 | 112245
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License Number State | CA
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