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General NPI Number Information
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NPI Number | 1215605696
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Entity Type | Organization
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Legal Business Name | EAST BAY HOUSE CALLS PC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 4900 HOPYARD RD STE 100
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City | PLEASANTON
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State | CA
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Zip | 94588-7101
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Country | US
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Telephone | 510-713-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 HOPYARD RD STE 100
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City | PLEASANTON
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State | CA
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Zip | 94588-7101
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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 | FNP
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Name | ENNA CHEN
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Credential |
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Telephone | 916-333-7903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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