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General NPI Number Information
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NPI Number | 1609387562
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Entity Type | Organization
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Legal Business Name | CITY OF FREMONT
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 11/17/2017
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Provider Practice Location Address
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Address Line | 35753 CEDAR BLVD
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City | NEWARK
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State | CA
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Zip | 94560-1324
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Country | US
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Telephone | 510-574-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 CAPITOL AVE BLDG B
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City | FREMONT
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State | CA
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Zip | 94538-1514
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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 | DEPUTY DIRECTOR, HUMAN SERVICES DEP
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Name | ARQUIMIDES TOMAS CALDERA
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Credential |
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Telephone | 510-574-2056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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