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General NPI Number Information
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NPI Number | 1801173919
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Entity Type | Individual
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Provider Name | FREDERICK JOSEPH LOMBARDO CADCI
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Gender | Male
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 6666 OWENS DR
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City | PLEASANTON
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State | CA
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Zip | 94588-3334
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Country | US
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Telephone | 925-942-6219
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Fax |
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Provider Business Mailing Address
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Address Line | 409 HARBOR RD
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City | ALAMEDA
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State | CA
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Zip | 94502-7412
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Country | US
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Telephone | 510-749-9901
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Fax | 510-749-9901
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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