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General NPI Number Information
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NPI Number | 1437439437
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Entity Type | Individual
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Provider Name | DANIEL SEBASTIEN VAN BEEK B.A.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 255 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94606-2235
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Country | US
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Telephone | 510-835-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 6620 DOVER ST
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City | OAKLAND
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State | CA
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Zip | 94609-1012
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Country | US
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Telephone | 916-849-8939
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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