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General NPI Number Information
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NPI Number | 1063154284
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Entity Type | Organization
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Legal Business Name | SAN DIEGO HOME CAREGIVERS, LLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 3443 CAMINO DEL RIO S STE 202
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City | SAN DIEGO
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State | CA
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Zip | 92108-3914
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Country | US
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Telephone | 619-487-9000
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Fax | 619-487-9010
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Provider Business Mailing Address
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Address Line | 3443 CAMINO DEL RIO S STE 202
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City | SAN DIEGO
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State | CA
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Zip | 92108-3914
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Country | US
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Telephone | 619-487-9000
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Fax | 619-487-9010
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Authorized Official
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Title or Position | OWNER
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Name | STERLING MILES
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Credential |
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Telephone | 619-487-9000
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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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