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NPI 1083290118

NPI 1083290118 : QUEST HOME HEALTH & HOSPICE CARE INC. : PLEASANTON, CA

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General NPI Number Information
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    NPI Number           |    1083290118
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUEST HOME HEALTH & HOSPICE CARE INC. 
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Dates
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    Enumeration Date     |    03/19/2021
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    Last Update Date     |    03/30/2021
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Provider Practice Location Address
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    Address Line         |    3037 HOPYARD RD STE O 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94588-5257
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    Country              |    US
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    Telephone            |    925-450-2478
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    Fax                  |    925-450-2480
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Provider Business Mailing Address
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    Address Line         |    3037 HOPYARD RD STE O 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94588-5257
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    Country              |    US
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    Telephone            |    925-450-2478
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    Fax                  |    925-450-2480
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. AJAZ AHMED NIZAM 
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    Credential           |    NA
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    Telephone            |    925-450-2478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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