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General NPI Number Information
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NPI Number | 1891209755
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Entity Type | Individual
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Provider Name | EDGAR DARIO RONDON MSW
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Gender | Male
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 502 CANE ST APT C
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City | LARKSPUR
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State | CA
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Zip | 94939-2088
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Country | US
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Telephone | 786-398-0426
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Fax |
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Provider Business Mailing Address
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Address Line | 982 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2911
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Country | US
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Telephone | 415-767-3412
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | ASW81915
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License Number State | CA
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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 | 105871
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License Number State | CA
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