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General NPI Number Information
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NPI Number | 1184791998
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Entity Type | Organization
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Legal Business Name | BAY AREA COMMUNITY HEALTH
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 1999 MOWRY AVENUE SUITE A&B&D&F&N
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City | FREMONT
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State | CA
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Zip | 94538-1436
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Country | US
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Telephone | 510-770-8040
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Fax | 510-623-8926
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Provider Business Mailing Address
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Address Line | 40910 FREMONT BLVD
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City | FREMONT
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State | CA
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Zip | 94538-4375
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Country | US
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Telephone | 510-770-8040
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Fax | 510-623-8926
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Authorized Official
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Title or Position | DEPUTY DIRECTOR OF CLIENT SERVICES
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Name | NAVNEET BAINS
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Credential |
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Telephone | 916-419-7292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 550000139
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License Number State | CA
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