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General NPI Number Information
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NPI Number | 1104649532
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Entity Type | Organization
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Legal Business Name | HERS BREAST CANCER FOUNDATION
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 164 N L ST STE 107
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City | LIVERMORE
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State | CA
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Zip | 94550-2118
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Country | US
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Telephone | 925-273-7000
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Fax | 510-505-9160
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Provider Business Mailing Address
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Address Line | 2500 MOWRY AVE # 130
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City | FREMONT
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State | CA
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Zip | 94538-1605
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Country | US
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Telephone | 510-790-1911
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Fax | 510-505-9160
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | REBECCA LALWANI
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Credential |
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Telephone | 510-790-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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