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General NPI Number Information
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NPI Number | 1962170738
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Entity Type | Organization
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Legal Business Name | ENZEE INC.
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Dates
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Enumeration Date | 09/05/2021
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Last Update Date | 09/05/2021
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Provider Practice Location Address
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Address Line | 3267 BRIGGS AVE # B
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City | ALAMEDA
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State | CA
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Zip | 94501-4802
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Country | US
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Telephone | 510-239-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 3275 BRIGGS AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4802
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Country | US
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Telephone | 510-239-7455
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREG MOGEL
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Credential | MD
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Telephone | 805-807-1871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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