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General NPI Number Information
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NPI Number | 1841692589
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Entity Type | Organization
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Legal Business Name | UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 2401 SHADELANDS DR SUITE 120
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2494
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Country | US
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Telephone | 925-979-3440
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Fax | 925-979-3445
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Provider Business Mailing Address
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Address Line | 744 52ND ST AUDIOLOGY CLINIC
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City | OAKLAND
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State | CA
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Zip | 94609-1810
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Country | US
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Telephone | 510-428-3344
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Fax |
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Authorized Official
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Title or Position | LEAD AUDIOLOGIST
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Name | KELLY TREMMEL-HOWELL
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Credential | AU.D., CCC-A
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Telephone | 925-979-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2977
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License Number State | CA
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