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General NPI Number Information
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NPI Number | 1518806785
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Entity Type | Organization
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Legal Business Name | LIFELONG MEDICAL CARE
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1245 MCKAY AVE STE B
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City | ALAMEDA
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State | CA
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Zip | 94501-7806
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Country | US
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Telephone | 510-847-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 MCKAY AVE STE B
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City | ALAMEDA
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State | CA
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Zip | 94501-7806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR PATIENT ACCOUNTS
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Name | AMY HATFIELD
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Credential |
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Telephone | 916-749-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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