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General NPI Number Information
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NPI Number | 1821872193
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Entity Type | Organization
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Legal Business Name | OAKLAND SURGICAL CENTER
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 13847 E 14TH ST STE 116
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2625
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Country | US
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Telephone | 510-347-8048
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Fax | 888-858-4059
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Provider Business Mailing Address
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Address Line | 13847 E 14TH ST STE 116
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2625
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Country | US
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Telephone | 510-347-8048
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Fax | 888-858-4059
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDY NAVID
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Credential |
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Telephone | 909-489-1874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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