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General NPI Number Information
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NPI Number | 1861863201
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Entity Type | Organization
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Legal Business Name | EAST BAY AGENCY FOR CHILDREN
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 37490 BIRCH ST LOUIS MILANI ELEMENTARY SCHOOL
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City | NEWARK
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State | CA
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Zip | 94560-4140
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Country | US
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Telephone | 510-818-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 303 VAN BUREN AVE
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City | OAKLAND
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State | CA
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Zip | 94610-4340
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Country | US
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Telephone | 510-844-5369
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Fax |
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Authorized Official
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Title or Position | CONTINUOUS QUALITY ASSURANCE MGR.
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Name | JANE CHING
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Credential | LCSW
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Telephone | 510-844-6720
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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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