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General NPI Number Information
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NPI Number | 1134654445
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Entity Type | Individual
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Provider Name | CELESTE DE LEON-PEREY
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 1404 FRANKLIN ST STE 200
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City | OAKLAND
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State | CA
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Zip | 94612-3208
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Country | US
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Telephone | 510-891-8922
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 REGATTA WAY
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City | SAN LEANDRO
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State | CA
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Zip | 94579-2706
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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