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General NPI Number Information
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NPI Number | 1063723120
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Entity Type | Organization
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Legal Business Name | NO PLACE LIKE HOME
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 19131 REDWOOD RD SUITE H
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-3464
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Country | US
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Telephone | 510-538-2273
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Fax | 510-538-2233
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Provider Business Mailing Address
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Address Line | 19131 REDWOOD RD SUITE H
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-3464
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Country | US
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Telephone | 510-538-2273
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Fax | 510-538-2233
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | SUSAN DIMOS
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Credential | CSA
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Telephone | 510-538-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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