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General NPI Number Information
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NPI Number | 1083033369
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Entity Type | Organization
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Legal Business Name | ADULT HEALTHCARE ADVOCACY SERVICE
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 170 PROFESSIONAL CENTER DR SUITE A
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2144
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Country | US
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Telephone | 707-595-5258
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Fax | 707-595-5276
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Provider Business Mailing Address
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Address Line | 170 PROFESSIONAL CENTER DR SUITE A
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2144
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Country | US
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Telephone | 707-595-5258
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Fax | 707-595-5276
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Authorized Official
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Title or Position | CEO
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Name | ERIC CONSTANTINE
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Credential |
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Telephone | 707-595-5258
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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