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General NPI Number Information
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NPI Number | 1649787268
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Entity Type | Organization
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Legal Business Name | BANCROFT HEALTH GROUP, INC.
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 1475 BANCROFT AVE
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City | SAN LEANDRO
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State | CA
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Zip | 94577-5105
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Country | US
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Telephone | 510-483-1680
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Fax |
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Provider Business Mailing Address
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Address Line | 182 HOWARD ST # 334
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-1611
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Country | US
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Telephone | 510-536-1838
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BELINDA LEUNG
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Credential | RN, NHA, MBA
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Telephone | 510-536-1838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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