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General NPI Number Information
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NPI Number | 1174279715
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Entity Type | Organization
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Legal Business Name | BAY AREA ALLIANCE FOR YOUTH AND FAMILY SERVICES
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 4350 PALO VERDE DR
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City | PITTSBURG
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State | CA
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Zip | 94565-6332
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Country | US
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Telephone | 925-609-6990
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Fax |
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Provider Business Mailing Address
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Address Line | 3021 CITRUS CIR STE 101
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2692
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Country | US
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Telephone | 925-609-6990
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MANDAVE SANDHU
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Credential |
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Telephone | 510-685-8156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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