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General NPI Number Information
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NPI Number | 1013781004
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Entity Type | Organization
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Legal Business Name | ANCECAPA GROUP, LLC
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 1930 W PARKSIDE AVE
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City | BURBANK
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State | CA
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Zip | 91506-2911
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Country | US
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Telephone | 760-707-6175
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Fax |
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Provider Business Mailing Address
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Address Line | 2829 TOWNSGATE RD STE 100
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-3015
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Country | US
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Telephone | 805-209-4388
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. OSCAR J GARCIA
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Credential |
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Telephone | 760-707-6175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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