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General NPI Number Information
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NPI Number | 1407067846
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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 | 05/25/2007
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 258 W A ST
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City | HAYWARD
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State | CA
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Zip | 94541-4850
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Country | US
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Telephone | 510-732-5956
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Fax | 510-732-5954
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Provider Business Mailing Address
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Address Line | 1918 UNIVERSITY AVE STE 2A
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City | BERKELEY
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State | CA
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Zip | 94704-3263
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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 | EXECUTIVE DIRECTOR
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Name | DONALD IVY FRAZIER
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Credential |
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Telephone | 510-649-1935
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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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