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General NPI Number Information
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NPI Number | 1316120371
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Entity Type | Organization
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Legal Business Name | ALAMDA COUNTY PUBLIC HEALTH DEPTARTMENT
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 39155 LIBERTY ST STE D470
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City | FREMONT
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State | CA
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Zip | 94538-1529
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Country | US
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Telephone | 510-795-2459
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Fax | 510-792-8744
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Provider Business Mailing Address
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Address Line | 39155 LIBERTY ST STE D470
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City | FREMONT
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State | CA
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Zip | 94538-1529
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Country | US
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Telephone | 510-795-2459
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Fax | 510-792-8744
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. TONY ITON
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Credential | MD
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Telephone | 510-795-2459
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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 | RN476084
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License Number State | CA
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