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General NPI Number Information
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NPI Number | 1346544996
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Entity Type | Organization
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Legal Business Name | BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 521 W GRAND AVE
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City | OAKLAND
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State | CA
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Zip | 94612-1649
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Country | US
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Telephone | 510-663-7313
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Fax | 510-663-2409
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Provider Business Mailing Address
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Address Line | 2065 KITTREDGE ST SUITE E
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City | BERKELEY
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State | CA
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Zip | 94704-1404
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Country | US
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Telephone | 510-649-1930
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Fax | 510-649-0627
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MR. ROBERT EUGENE BARRER
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Credential |
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Telephone | 510-649-8174
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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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