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General NPI Number Information
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NPI Number | 1649692971
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Entity Type | Organization
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Legal Business Name | BI-BETT
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 604 BROADWAY ST
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City | VALLEJO
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State | CA
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Zip | 94590-3323
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Country | US
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Telephone | 707-643-2748
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Fax |
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Provider Business Mailing Address
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Address Line | 2290 DIAMOND BLVD SUITE 205
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City | CONCORD
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State | CA
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Zip | 94520
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Country | US
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Telephone | 925-798-7250
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SUSAN JEANNE CINELLI
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Credential |
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Telephone | 925-798-7250
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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 | A8740313
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License Number State | CA
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