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NPI 1427374776

NPI 1427374776 : ALLIANT INTERNATIONAL UNIVERSITY : LIVERMORE, CA

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General NPI Number Information
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    NPI Number           |    1427374776
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIANT INTERNATIONAL UNIVERSITY 
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Dates
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    Enumeration Date     |    04/12/2010
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    Last Update Date     |    09/04/2012
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Provider Practice Location Address
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    Address Line         |    5757 HAGGIN OAKS AVE 
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    City                 |    LIVERMORE
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    State                |    CA
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    Zip                  |    94551-1100
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    Country              |    US
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    Telephone            |    925-960-2490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1440 BROADWAY, SUITE 610 
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94612-1568
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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    |    EXECUTIVE DIRECTOR
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    Name                 |    DR. ELIZABETH  MILNES 
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    Credential           |    PYS.D.
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    Telephone            |    510-628-9065
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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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