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General NPI Number Information
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NPI Number | 1588024426
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Entity Type | Organization
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Legal Business Name | UC BERKELEY UNIVERSITY HEALTH SERVICES
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 2222 BANCROFT WAY MC4300
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City | BERKELEY
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State | CA
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Zip | 94720-4301
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Country | US
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Telephone | 510-643-5808
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 BANCROFT WAY MC4300
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City | BERKELEY
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State | CA
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Zip | 94720-4301
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Country | US
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Telephone | 510-643-5808
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Fax |
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Authorized Official
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Title or Position | MD
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Name | BRAD BUCHMAN
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Credential | MD
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Telephone | 510-642-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 642866
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License Number State | CA
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