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General NPI Number Information
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NPI Number | 1003992496
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Entity Type | Organization
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Legal Business Name | B VON ARNIM INC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 101 CALLAN AVE STE 405
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4523
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Country | US
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Telephone | 510-357-4222
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Fax | 510-614-4306
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Provider Business Mailing Address
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Address Line | PO BOX 665
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City | SAN LEANDRO
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State | CA
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Zip | 94577-0066
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Country | US
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Telephone | 510-357-4222
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Fax | 510-614-4306
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Authorized Official
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Title or Position | CONTROLLER
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Name | JOHN CHIN
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Credential |
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Telephone | 510-357-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 020000358
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License Number State | CA
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