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General NPI Number Information
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NPI Number | 1104226273
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Entity Type | Individual
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Provider Name | MOHAMED CONTEH
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Gender | Male
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 555 SYCAMORE AVENUE #4
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City | HAYWARD
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State | CA
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Zip | 94544
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Country | US
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Telephone | 510-599-9144
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SYCAMORE AVE APT 4
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City | HAYWARD
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State | CA
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Zip | 94544-1570
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Country | US
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Telephone | 510-599-9144
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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