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General NPI Number Information
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NPI Number | 1457303869
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Entity Type | Individual
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Provider Name | ELENA FOWLER MD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 255 W NAPA ST STE M
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City | SONOMA
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State | CA
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Zip | 95476-6546
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Country | US
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Telephone | 369-215-9091
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W NAPA ST
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City | SONOMA
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State | CA
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Zip | 95476-6559
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Country | US
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Telephone | 369-215-9091
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A78119
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License Number State | CA
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