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General NPI Number Information
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NPI Number | 1659770873
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Entity Type | Organization
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Legal Business Name | BAY AREA COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 236 GEORGIA ST SUITE 101
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City | VALLEJO
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State | CA
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Zip | 94590-5991
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Country | US
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Telephone | 510-613-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 1814 FRANKLIN ST FL 4
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City | OAKLAND
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State | CA
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Zip | 94612-3487
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Country | US
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Telephone | 510-613-0330
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR, QUALITY IMPROVEMENT
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Name | MS. SAMANTHA MARIE FRYER
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Credential |
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Telephone | 510-318-6135
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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 | 1539
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License Number State | CA
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