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General NPI Number Information
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NPI Number | 1225220676
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Entity Type | Organization
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Legal Business Name | CENTRAL BAY HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 400 29TH ST SUITE 100
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City | OAKLAND
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State | CA
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Zip | 94609-3522
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Country | US
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Telephone | 510-834-4100
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Fax | 510-834-4757
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Provider Business Mailing Address
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Address Line | 400 29TH ST SUITE 100
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City | OAKLAND
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State | CA
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Zip | 94609-3522
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Country | US
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Telephone | 510-834-4100
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Fax | 510-834-4757
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Authorized Official
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Title or Position | OWNER/OFFICE OPERATION MANAGER
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Name | MRS. ANGELINA MARIE CAUTIVERIO
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Credential |
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Telephone | 510-834-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | CH 100-883052
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License Number State | CA
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