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General NPI Number Information
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NPI Number | 1114208907
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Entity Type | Organization
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Legal Business Name | BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 730 #8 BARTLETT AVE
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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 | 510-786-2129
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Fax |
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Provider Business Mailing Address
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Address Line | 2065 KITTREDGE ST SUITE E
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City | BERKELEY
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State | CA
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Zip | 94704-1404
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Country | US
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Telephone | 510-649-0627
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MR. ROBERT EUGENE BARRER
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Credential |
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Telephone | 510-649-8174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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