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General NPI Number Information
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NPI Number | 1437582400
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Entity Type | Organization
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Legal Business Name | HIGHLAND HOSPITAL
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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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 | 510-243-7173
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Fax |
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Provider Business Mailing Address
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Address Line | 300 WESTLINE DR APT A310
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City | ALAMEDA
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State | CA
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Zip | 94501-5970
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Country | US
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Telephone | 818-530-3843
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Fax |
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Authorized Official
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Title or Position | CHIEF RESIDENT
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Name | JEEVEN KAUR BRAH
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Credential | M.D.
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Telephone | 818-530-3843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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