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Organization
PREP
Active
Organization
PREP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA RENEE LEAR (CARE ADVOCATE INTERN)
(510) 409-9231
Entity
Organization
Contact information
Practice address
1814 FRANKLIN ST, 400, OAKLAND, CA 94612-3487
(510) 318-6100
Mailing address
1814 FRANKLIN ST, OAKLAND, CA 94612-3487
(510) 318-6100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/21/2013
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