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NPI Code Detail

MEDICARE: ANDREW ERIC MUNOZ MSW

MEDICARE: ANDREW ERIC MUNOZ MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSX61333841WA
21041C0700XClinical Social Worker11266039-3501UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801535943
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW ERIC MUNOZ MSW
Provider Business Mailing Address
First Line : 1230 E PRIVET DR UNIT 4-427
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-7621
Country : US
Telephone Number : 18-251-6077
Fax Number :
Provider Business Practice Location Address
First Line : 59 W 9000 S
Second Line :
City : SANDY
State : UT
Zip : 84070-2008
Country : US
Telephone Number : 801-251-6077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2022
Last Update Date : 11/14/2024

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