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General NPI Number Information
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NPI Number | 1881795896
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Entity Type | Organization
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Legal Business Name | AIDS PROJECT OF THE EAST BAY
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 1320 WEBSTER STREET
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City | OAKLAND
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State | CA
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Zip | 94612
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Country | US
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Telephone | 510-457-4022
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Fax | 510-663-7983
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Provider Business Mailing Address
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Address Line | 1320 WEBSTER ST
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City | OAKLAND
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State | CA
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Zip | 94612-3204
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Country | US
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Telephone | 510-457-4022
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Fax | 510-663-7983
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | LYNICE PINKARD
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Credential |
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Telephone | 510-663-7954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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