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General NPI Number Information
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NPI Number | 1588727986
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Entity Type | Organization
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Legal Business Name | CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 25555 HESPERIAN BLVD BUILDING #2200
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City | HAYWARD
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State | CA
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Zip | 94545
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Country | US
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Telephone | 510-723-6900
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Fax | 510-723-7089
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Provider Business Mailing Address
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Address Line | 7600 DUBLIN BLVD 3RD FLOOR
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City | DUBLIN
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State | CA
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Zip | 94568-7040
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Country | US
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Telephone | 925-485-5208
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Fax | 510-723-7089
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. NANCY CHEUNG
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Credential | RDA, RDH, MPA/HSA
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Telephone | 510-723-6951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | CA
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