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General NPI Number Information
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NPI Number | 1083709919
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH HOME CARE NETWORK
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 980 TRANCAS STREET SUITE 9
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City | NAPA
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State | CA
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Zip | 94558
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Country | US
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Telephone | 707-257-4724
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Fax | 707-224-7087
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Provider Business Mailing Address
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Address Line | 1165 MONTGOMERY DRIVE MS 1S13
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City | SANTA ROSA
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State | CA
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Zip | 95405
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Country | US
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Telephone | 707-206-9124
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Fax | 707-206-9421
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Authorized Official
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Title or Position | ASSISTANT SECRETARY ENROLLMENT
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Name | DONALD WAYNE ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 010000127
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010000127
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License Number State | CA
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