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General NPI Number Information
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NPI Number | 1528337300
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Entity Type | Organization
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Legal Business Name | ALUM ROCK COUNSELING CENTER
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 1245 E SANTA CLARA ST
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City | SAN JOSE
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State | CA
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Zip | 95116-2337
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Country | US
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Telephone | 408-294-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1476 KENTFIELD AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94061-2702
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Country | US
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Telephone | 805-252-6009
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS PATRICIA CHIAPELLONE
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Credential |
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Telephone | 408-240-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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