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General NPI Number Information
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NPI Number | 1588840763
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Entity Type | Organization
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Legal Business Name | ALAMEDA COUNTY PUBLIC HEALTH TB
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 1100 SAN LEANDRO BLVD, STE 300
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City | SAN LEANDRO
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State | CA
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Zip | 94577
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Country | US
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Telephone | 510-667-3096
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Fax | 510-273-3916
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Provider Business Mailing Address
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Address Line | 1100 SAN LEANDRO BLVD, STE 300
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City | SAN LEANDRO
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State | CA
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Zip | 94577
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Country | US
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Telephone | 510-667-3096
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Fax | 510-273-3916
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Authorized Official
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Title or Position | CLINICAL SERVICES DIRECTOR/TB CONTR
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Name | DR. AMIT CHITNIS
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Credential | M.D.
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Telephone | 510-667-3054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | C33673
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License Number State | CA
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