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General NPI Number Information
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NPI Number | 1912105040
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Entity Type | Organization
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Legal Business Name | BAYVIEW HUNTERS POINT FOUNDATION FOR COMMUNITY IMPROVEMENT
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 1701 OCEAN AVENUE, SUITE 24
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City | SAN FRANCISCO
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State | CA
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Zip | 94112
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Country | US
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Telephone | 415-452-2202
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Fax | 415-334-5712
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Provider Business Mailing Address
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Address Line | 150 EXECUTIVE PARK BLVD., SUITE 2800
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-3303
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Country | US
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Telephone | 415-468-5100
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Fax | 415-468-5104
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JACOB K. MOODY
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Credential | MSW
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Telephone | 415-468-5100
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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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