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General NPI Number Information
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NPI Number | 1669744546
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Entity Type | Organization
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Legal Business Name | INCLUSIVE COMMUNITY RESOURCES LLC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 2001 CENTER ST SUITE 500
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City | BERKELEY
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State | CA
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Zip | 94704-1242
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Country | US
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Telephone | 510-981-8115
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 CENTER ST SUITE 500
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City | BERKELEY
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State | CA
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Zip | 94704-1242
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Country | US
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Telephone | 510-981-8115
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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. JULIE WEISSMAN-STEINBAUGH
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Credential | MA
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Telephone | 510-981-8115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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