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NPI 1508435983

NPI 1508435983 : CONTRA COSTA COUNTY : CONCORD, CA

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General NPI Number Information
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    NPI Number           |    1508435983
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONTRA COSTA COUNTY 
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Dates
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    Enumeration Date     |    06/21/2021
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    Last Update Date     |    10/13/2025
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Provider Practice Location Address
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    Address Line         |    2500 BATES AVE STE B 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520-1208
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    Country              |    US
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    Telephone            |    925-608-5200
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    Fax                  |    925-608-5188
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Provider Business Mailing Address
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    Address Line         |    2500 BATES AVE STE B 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520-1378
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    Country              |    US
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    Telephone            |    925-608-5200
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    Fax                  |    925-608-5188
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Authorized Official
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    Title or Position    |    DEPUTY CFO
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    Name                 |     DAVID D. LEE 
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    Credential           |    MBA, FHFMA
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    Telephone            |    925-957-5445
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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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