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General NPI Number Information
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NPI Number | 1053134445
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Entity Type | Organization
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Legal Business Name | INDECARE CORPORATION
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 9616 MICRON AVE STE 730
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City | SACRAMENTO
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State | CA
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Zip | 95827-2626
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Country | US
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Telephone | 916-973-1264
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Fax | 866-563-1306
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Provider Business Mailing Address
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Address Line | 9616 MICRON AVE STE 730
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City | SACRAMENTO
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State | CA
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Zip | 95827-2626
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Country | US
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Telephone | 916-973-1264
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Fax | 866-563-1306
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN FISHER
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Credential |
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Telephone | 916-973-1264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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