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NPI 1790995959

NPI 1790995959 : BAY AREA COMMUNITY SERVICES, INC. : PLEASANTON, CA

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General NPI Number Information
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    NPI Number           |    1790995959
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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     |    05/23/2007
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    3900 VALLEY AVE STE B 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94566
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    Country              |    US
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    Telephone            |    925-484-8457
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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    |    SENIOR DIRECTOR OF ADMINISTRATION
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    Name                 |     MICHAEL STANTON WARD 
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    Credential           |    
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    Telephone            |    510-219-7451
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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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