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General NPI Number Information
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NPI Number | 1285862672
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Entity Type | Individual
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Provider Name | ELENA A GORROW MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 03/01/2020
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Provider Practice Location Address
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Address Line | 5820 STONERIDGE MALL RD STE 106
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City | PLEASANTON
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State | CA
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Zip | 94588-3275
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Country | US
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Telephone | 925-854-2221
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Fax | 925-854-2766
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Provider Business Mailing Address
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Address Line | PO BOX 2532
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City | DUBLIN
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State | CA
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Zip | 94568-0253
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Country | US
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Telephone | 925-854-2221
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Fax | 925-854-2766
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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 | 76217
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License Number State | CA
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