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General NPI Number Information
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NPI Number | 1326173568
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Entity Type | Organization
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Legal Business Name | SENECA CENTER
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2701 IVY DR APT. C
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City | OAKLAND
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State | CA
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Zip | 94606-2172
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Country | US
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Telephone | 510-316-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 887 POTRERO AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2869
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DANIELLE SIEGEL
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Credential |
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Telephone | 415-206-6388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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