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General NPI Number Information
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NPI Number | 1427295849
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Entity Type | Organization
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Legal Business Name | ALAMEDA COUNTY MEDICLA CENTER
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 1411 EAST 31ST STREET
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4323
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Fax | 510-437-5042
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Provider Business Mailing Address
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Address Line | 1411 EAST 31ST STREET
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4323
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Fax | 510-437-5042
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Authorized Official
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Title or Position | CREDENTIALING COODINATOR
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Name | EVA LAVERNE BROOKS
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Credential |
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Telephone | 510-437-4323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | CA
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