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General NPI Number Information
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NPI Number | 1255868964
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Entity Type | Organization
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Legal Business Name | BE CLINICAL INCORPORATED
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 05/12/2017
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Provider Practice Location Address
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Address Line | 1081 MARKET PLACE SUITE 200
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City | SAN RAMON
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State | CA
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Zip | 94583
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Country | US
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Telephone | 415-860-8362
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Fax |
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Provider Business Mailing Address
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Address Line | 4036 WESTMINSTER PLACE
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City | DANVILLE
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State | CA
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Zip | 94506
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Country | US
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Telephone | 415-860-8362
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Fax |
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Authorized Official
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Title or Position | OWNER /MEDICAL DIRECTOR
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Name | DR. FIONA FRIE
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Credential | M.D
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Telephone | 415-860-8362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A133692
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License Number State | CA
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