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General NPI Number Information
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NPI Number | 1619151321
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Entity Type | Organization
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Legal Business Name | DC FAMILY CONNECTIONS
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 2222 WATT AVE STE D5
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City | SACRAMENTO
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State | CA
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Zip | 95825-0581
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Country | US
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Telephone | 916-367-9980
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Fax | 916-489-3297
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Provider Business Mailing Address
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Address Line | 2222 WATT AVE STE D5
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City | SACRAMENTO
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State | CA
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Zip | 95825-0581
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Country | US
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Telephone | 916-367-9980
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Fax | 916-489-3297
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Authorized Official
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Title or Position | PARTNER
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Name | DAVID THOMAS ELLIOTT
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Credential | LCSW
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Telephone | 916-825-0632
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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 | LCS23754
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License Number State | CA
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