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General NPI Number Information
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NPI Number | 1174245070
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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 | 09/16/2022
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 6529 RIVERSIDE AVE STE 160
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City | RIVERSIDE
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State | CA
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Zip | 92506-3100
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Country | US
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Telephone | 714-357-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 8945 GOLF LINKS RD
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City | OAKLAND
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State | CA
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Zip | 94605-4124
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Country | US
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Telephone | 510-725-5727
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. SCOTT OSBORN
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Credential |
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Telephone | 510-520-0943
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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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