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General NPI Number Information
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NPI Number | 1093533564
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Entity Type | Organization
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Legal Business Name | ALAMEDA COUNTY CARE ALLIANCE COLLABORATIVE
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 8501 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94621-1549
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Country | US
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Telephone | 628-777-2480
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Fax |
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Provider Business Mailing Address
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Address Line | 8501 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94621-1549
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Country | US
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Telephone | 628-777-2480
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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 | CYNTHIA CARTER-PERRILLIAT (HILL)
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Credential | MPA
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Telephone | 628-239-3065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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