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General NPI Number Information
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NPI Number | 1023789468
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Entity Type | Organization
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Legal Business Name | CASA DE AMIGOS COMMUNITY RESPITE CENTER, INC.
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 528 MONTEREY ST
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City | BAKERSFIELD
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State | CA
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Zip | 93305-4305
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Country | US
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Telephone | 661-633-0226
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Fax | 661-322-1532
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Provider Business Mailing Address
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Address Line | 528 MONTEREY ST
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City | BAKERSFIELD
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State | CA
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Zip | 93305-4305
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Country | US
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Telephone | 661-633-0226
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Fax | 661-322-1532
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Authorized Official
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Title or Position | SECRETARY/ TREASURER
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Name | MR. WILLIAM ARTHUR REED
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Credential |
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Telephone | 661-428-8453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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