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General NPI Number Information
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NPI Number | 1700244456
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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 | 02/09/2016
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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
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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 | 707-654-8875
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Fax | 707-654-8677
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Provider Business Mailing Address
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Address Line | 236 GEORGIA ST
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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 | 707-654-8875
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Fax | 707-654-8677
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JAMIE ALMANZA
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Credential |
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Telephone | 510-613-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | D2267014
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License Number State | CA
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