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General NPI Number Information
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NPI Number | 1497661292
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Entity Type | Individual
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Provider Name | ALLEN MATTHEW CHERNAK
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Gender | Male
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 4892 SAN PABLO DAM RD
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City | EL SOBRANTE
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State | CA
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Zip | 94803-3222
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Country | US
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Telephone | 510-243-2360
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Fax |
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Provider Business Mailing Address
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Address Line | 40 MOSS AVE APT 304
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City | OAKLAND
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State | CA
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Zip | 94610-1302
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Country | US
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Telephone | 510-631-7844
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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