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General NPI Number Information
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NPI Number | 1366930182
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Entity Type | Organization
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Legal Business Name | OPTIONS RECOVERY SERVICES
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 614 ALICE ST
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City | OAKLAND
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State | CA
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Zip | 94607
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Country | US
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Telephone | 510-666-9552
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 ALLSTON WAY
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City | BERKELEY
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State | CA
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Zip | 94703-1764
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Country | US
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Telephone | 510-666-9552
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE & ADMINISTRATIO
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Name | WENDY R JONES
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Credential |
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Telephone | 510-666-9552
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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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