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NPI 1730690389

NPI 1730690389 : ALLISON ELIZABETH ARSOUZY : GREENBRAE, CA

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General NPI Number Information
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    NPI Number           |    1730690389
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    Entity Type          |    Individual 
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    Provider Name        |    ALLISON ELIZABETH ARSOUZY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/21/2017
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    Last Update Date     |    03/01/2022
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Provider Practice Location Address
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    Address Line         |    250 BON AIR ROAD UNIT B 
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    City                 |    GREENBRAE
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    State                |    CA
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    Zip                  |    94904
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    Country              |    US
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    Telephone            |    415-473-6666
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21400 GOLLER AVE 
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    City                 |    EUCLID
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    State                |    OH
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    Zip                  |    44119-1859
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    Country              |    US
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    Telephone            |    
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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       |    S1101371
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    87671
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    License Number State |    CA
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