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General NPI Number Information
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NPI Number | 1891235859
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Entity Type | Organization
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Legal Business Name | ALZHEIMER'S SERVICES OF THE EAST BAY, INCORPORATED
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1105 WALPERT STREET
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City | HAYWARD
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State | CA
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Zip | 94541
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Country | US
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Telephone | 510-888-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 CHANNING WAY
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City | BERKELEY
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State | CA
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Zip | 94704-2202
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Country | US
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Telephone | 510-644-8292
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Fax | 510-540-6771
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MS. MICHEAL POPE
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Credential |
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Telephone | 510-644-8292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 070000508
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 550003551
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 070000512
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License Number State | CA
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