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General NPI Number Information
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NPI Number | 1427480854
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Entity Type | Individual
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Provider Name | OLGA GUTIERREZ MSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 1000 SAN LEANDRO BLVD STE 300
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1675
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Country | US
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Telephone | 510-529-5469
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Fax |
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Provider Business Mailing Address
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Address Line | 211 BEVERLY AVE
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1923
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Country | US
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Telephone | 510-759-0398
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | ASW35159
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | ASW 35159
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License Number State | CA
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