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General NPI Number Information
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NPI Number | 1770956245
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Entity Type | Individual
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Provider Name | FELIPE DANIEL GAMEZ SR. CADCII
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Gender | Male
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 9340 E STOCKTON BLVD
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City | ELK GROVE
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State | CA
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Zip | 95624-1563
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Country | US
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Telephone | 916-710-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 FLORIN PERKINS RD
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City | SACRAMENTO
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State | CA
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Zip | 95826-3900
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Country | US
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Telephone | 916-876-5432
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A059780521
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | R1210080815
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License Number State | CA
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