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General NPI Number Information
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NPI Number | 1871782052
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Entity Type | Organization
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Legal Business Name | FAMILY SUPPORT SERVICES
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 205 13TH ST SUITE 3150
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2461
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Country | US
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Telephone | 415-861-4060
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Fax | 415-861-4410
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Provider Business Mailing Address
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Address Line | 205 13TH ST SUITE 3150
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2461
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Country | US
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Telephone | 415-861-4060
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Fax | 415-861-4410
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ELIZABETH ADEYI
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Credential |
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Telephone | 415-861-4060
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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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