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General NPI Number Information
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NPI Number | 1093602112
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Entity Type | Individual
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Provider Name | GILBERT DANIEL GAMMAD LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 800 FERRY ST
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City | MARTINEZ
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State | CA
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Zip | 94553-1626
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Country | US
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Telephone | 510-603-5495
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 IVY DR APT 6
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City | OAKLAND
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State | CA
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Zip | 94606-2173
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Country | US
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Telephone | 707-344-8105
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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 | 128566
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License Number State | CA
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