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General NPI Number Information
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NPI Number | 1134572639
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Entity Type | Organization
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Legal Business Name | SENECA FAMILY OF AGENCIES
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 23515 MAUD AVE
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City | HAYWARD
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State | CA
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Zip | 94541-4519
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Country | US
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Telephone | 510-723-3830
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Fax |
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Provider Business Mailing Address
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Address Line | 6925 CHABOT RD
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City | OAKLAND
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State | CA
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Zip | 94618-1921
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Country | US
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Telephone | 510-654-4004
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Fax | 510-317-1426
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | KATHERINE WEST
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Credential |
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Telephone | 510-520-0935
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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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