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General NPI Number Information
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NPI Number | 1083782684
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Entity Type | Organization
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Legal Business Name | RENATA BROWNBRIDGE APC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 347 14TH STREET
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City | MONTARA
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State | CA
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Zip | 94037
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Country | US
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Telephone | 650-728-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 6086 BELLINGHAM DR
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City | CASTRO VALLEY
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State | CA
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Zip | 94552-1629
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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 | PRESIDENT
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Name | MS. RENATA BROWNBRIDGE
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Credential | LCSW
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Telephone | 510-538-9130
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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 | LF001563
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License Number State | CA
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