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General NPI Number Information
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NPI Number | 1710707088
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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 | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 2101 LOVERIDGE RD
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City | PITTSBURG
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State | CA
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Zip | 94565-5019
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Country | US
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Telephone | 925-427-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 390 40TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-2633
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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 | COMPLIANCE MANAGER
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Name | HANAN KATZ-LEWIS
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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