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General NPI Number Information
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NPI Number | 1124880299
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Entity Type | Individual
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Provider Name | JAMES JOSEPH OGDEN
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Gender | Male
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 02/18/2024
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Provider Practice Location Address
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Address Line | 202 E BELLEVUE AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-2305
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Country | US
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Telephone | 510-295-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 VERSAILLES AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-1655
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Country | US
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Telephone | 151-020-5269
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16478
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License Number State | CA
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