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General NPI Number Information
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NPI Number | 1063132298
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Entity Type | Organization
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Legal Business Name | WELBE HEALTH HC NOCAL, LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 2291 W MARCH LN STE E110
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City | STOCKTON
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State | CA
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Zip | 95207-8133
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Country | US
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Telephone | 916-813-9202
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Fax |
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Provider Business Mailing Address
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Address Line | 2291 W MARCH LN STE E110
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City | STOCKTON
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State | CA
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Zip | 95207-8133
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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 | PRESIDENT
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Name | MATTHEW PATTERSON
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Credential | MD
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Telephone | 619-961-5732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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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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