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General NPI Number Information
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NPI Number | 1104313394
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Entity Type | Organization
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Legal Business Name | FILIPINO ADVOCATES FOR JUSTICE
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 3961 HORNER ST
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City | UNION CITY
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State | CA
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Zip | 94587-2515
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Country | US
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Telephone | 510-487-8552
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Fax | 510-487-3930
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Provider Business Mailing Address
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Address Line | 310 8TH ST STE 309
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City | OAKLAND
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State | CA
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Zip | 94607-4253
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Country | US
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Telephone | 510-465-9876
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Fax | 510-465-7548
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Authorized Official
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Title or Position | PREVENTION DIRECTOR
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Name | MR. CHRISTOPHER BRYAN CARA
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Credential |
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Telephone | 510-465-9876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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