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General NPI Number Information
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NPI Number | 1013782572
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Entity Type | Organization
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Legal Business Name | HOLISTIC HOME CARE LLC
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 4122 N EL DORADO ST
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City | STOCKTON
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State | CA
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Zip | 95204-2105
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Country | US
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Telephone | 408-624-2785
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Fax |
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Provider Business Mailing Address
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Address Line | 4255 PACIFIC AVE STE 3B
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City | STOCKTON
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State | CA
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Zip | 95207-7638
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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 | OWNER, PRESIDENT
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Name | MARIAN THOMAS
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Credential |
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Telephone | 408-624-2785
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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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