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General NPI Number Information
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NPI Number | 1144659202
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Entity Type | Organization
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Legal Business Name | OAKLAND UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 4610 FOOTHILL BLVD
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City | OAKLAND
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State | CA
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Zip | 94601-4618
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Country | US
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Telephone | 510-434-5271
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Fax | 510-434-5244
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Provider Business Mailing Address
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Address Line | 2850 WEST ST
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City | OAKLAND
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State | CA
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Zip | 94608-4536
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Country | US
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Telephone | 510-874-3715
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Fax | 510-874-3707
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Authorized Official
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Title or Position | MENTAL HEALTH COORDINATOR
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Name | BERNICE STANLEY
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Credential |
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Telephone | 510-874-3715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 21739
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License Number State | CA
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