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General NPI Number Information
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NPI Number | 1386390284
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Entity Type | Individual
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Provider Name | ELIZABETH ANGELICA GUERRA LCSW127316
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Gender | Female
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 737 E 11TH ST
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City | OAKLAND
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State | CA
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Zip | 94606-3620
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Country | US
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Telephone | 510-563-9451
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94601-2228
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Country | US
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Telephone | 510-535-4400
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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 | 127316
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License Number State | CA
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