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General NPI Number Information
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NPI Number | 1699639005
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Entity Type | Organization
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Legal Business Name | EASTBAY HEALTHCARE SERVICE LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 14 SADDLEHORN CT
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City | PITTSBURG
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State | CA
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Zip | 94565-2471
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Country | US
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Telephone | 925-477-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 38 BRANDING IRON CT
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City | OAKLEY
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State | CA
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Zip | 94561-4405
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Country | US
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Telephone | 925-477-7320
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY EMEKA NZENWOSU
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Credential | SJD
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Telephone | 925-477-7320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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