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General NPI Number Information
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NPI Number | 1467277962
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Entity Type | Organization
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Legal Business Name | EAST BAY SURGICAL SERVICES INC.
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2540 EAST ST
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City | CONCORD
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State | CA
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Zip | 94520-1960
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Country | US
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Telephone | 925-487-1398
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4421
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City | WALNUT CREEK
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State | CA
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Zip | 94596-0421
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Country | US
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Telephone | 925-487-1398
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. BRIAN HOPKINS
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Credential | MD
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Telephone | 925-487-1398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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