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General NPI Number Information
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NPI Number | 1942092408
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Entity Type | Organization
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Legal Business Name | ZYMBOLIC LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 5433 CRITTENDEN ST
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City | OAKLAND
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State | CA
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Zip | 94601-5712
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Country | US
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Telephone | 510-566-5047
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Fax |
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Provider Business Mailing Address
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Address Line | 5433 CRITTENDEN ST
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City | OAKLAND
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State | CA
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Zip | 94601-5712
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO & CO - FOUNDER
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Name | MR. JOSE CRUZ JAUREGUI
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Credential |
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Telephone | 510-566-5047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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