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General NPI Number Information
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NPI Number | 1053701680
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Entity Type | Organization
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Legal Business Name | INFINITE CARE ADVOCATES, INC
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 16870 W BERNARDO DR SUITE 400
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City | SAN DIEGO
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State | CA
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Zip | 92127-1677
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Country | US
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Telephone | 858-674-6903
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Fax |
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Provider Business Mailing Address
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Address Line | 16870 W BERNARDO DR SUITE 400
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City | SAN DIEGO
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State | CA
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Zip | 92127-1677
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Country | US
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Telephone | 858-674-6903
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | ROMANELYN TAN
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Credential |
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Telephone | 760-845-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 740144
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License Number State | CA
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