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General NPI Number Information
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NPI Number | 1083505283
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Entity Type | Organization
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Legal Business Name | OAKLAND NATIVES GIVE BACK FUND INC.
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1441 FRANKLIN ST
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City | OAKLAND
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State | CA
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Zip | 94612-3231
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Country | US
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Telephone | 510-225-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 FRANKLIN ST
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City | OAKLAND
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State | CA
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Zip | 94612-3231
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Country | US
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Telephone | 510-225-6420
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. NYEISHA DEWITT
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Credential | EDD.
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Telephone | 510-917-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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