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General NPI Number Information
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NPI Number | 1720790272
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Entity Type | Individual
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Provider Name | ELIZABETH BRIGHINA
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Gender | Female
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 6955 FOOTHILL BLVD
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City | OAKLAND
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State | CA
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Zip | 94605-2455
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Country | US
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Telephone | 510-567-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 14489 CORVALLIS ST
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City | SAN LEANDRO
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State | CA
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Zip | 94579-1122
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Country | US
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Telephone | 510-909-6047
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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 | 116622
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License Number State | CA
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