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General NPI Number Information
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NPI Number | 1427488980
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Entity Type | Organization
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Legal Business Name | CITY OF FREMONT, HUMAN SERVICES DEPARTMENT, MSSP
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 3300 CAPITOL AVE BUILDING B
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City | FREMONT
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State | CA
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Zip | 94538-1514
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Country | US
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Telephone | 510-574-2050
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Fax | 510-574-2054
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Provider Business Mailing Address
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Address Line | 3300 CAPITOL AVE BUILDING B
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City | FREMONT
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State | CA
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Zip | 94538-1514
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Country | US
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Telephone | 510-574-2050
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Fax | 510-574-2054
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Authorized Official
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Title or Position | DEPUTY HUMAN SERVICES DIRECTOR
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Name | MR. ARQUIMIDES CALDERA
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Credential |
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Telephone | 510-574-2056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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