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General NPI Number Information
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NPI Number | 1306315460
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Entity Type | Organization
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Legal Business Name | EAST OAKLAND COMMUNITY PROJECT
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 7515 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94621-2843
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Country | US
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Telephone | 510-532-3211
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Fax | 510-532-2112
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Provider Business Mailing Address
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Address Line | 7515 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94621-2843
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Country | US
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Telephone | 510-532-3211
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Fax | 510-532-2112
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Authorized Official
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Title or Position | CASE MANAGEMENT SERVICES MANAGER
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Name | MS. OLA FRANCES COLEMON
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Credential | M.A.C.P.
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Telephone | 510-447-3504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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