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General NPI Number Information
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NPI Number | 1346694908
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Entity Type | Individual
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Provider Name | DANIELLE JANE ELZIK LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 1550 E MAIN ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-4819
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Country | US
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Telephone | 805-354-6018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | ARROYO GRANDE
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State | CA
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Zip | 93421-0309
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Country | US
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Telephone | 805-354-6018
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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 | 8513
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License Number State | TN
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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 | 27987
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License Number State | CA
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