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General NPI Number Information
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NPI Number | 1225352925
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Entity Type | Organization
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Legal Business Name | LINCOLN
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 581 61ST ST
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City | OAKLAND
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State | CA
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Zip | 94609-1248
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Country | US
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Telephone | 510-531-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 150 LINDEN ST
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City | OAKLAND
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State | CA
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Zip | 94607-2538
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Country | US
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Telephone | 510-852-0130
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Fax | 510-530-8083
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Authorized Official
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Title or Position | DIRECTOR OF SCHOOL-BASED SERVICES
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Name | ALLISON STAULCUP BECWAR
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Credential | LCSW
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Telephone | 510-867-0944
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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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