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General NPI Number Information
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NPI Number | 1134520737
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Entity Type | Organization
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Legal Business Name | Y TEAM
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 4175 LAKESIDE DR
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City | RICHMOND
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State | CA
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Zip | 94806-5774
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Country | US
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Telephone | 510-262-6551
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Fax |
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Provider Business Mailing Address
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Address Line | 274 EUCLID AVE APT 7
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City | OAKLAND
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State | CA
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Zip | 94610-3140
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Country | US
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Telephone | 510-282-4371
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MARIA TURNER-LLOVERAS
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Credential |
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Telephone | 510-282-4371
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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 | CA
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