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General NPI Number Information
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NPI Number | 1083797880
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Entity Type | Organization
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Legal Business Name | CASTRO VALLEY HEALTH, INC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 20980 REDWOOD RD SUITE 205
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5930
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Country | US
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Telephone | 510-690-1930
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Fax | 510-690-0930
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Provider Business Mailing Address
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Address Line | 20980 REDWOOD RD SUITE 205
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5930
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Country | US
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Telephone | 510-690-1930
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Fax | 510-690-0930
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Authorized Official
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Title or Position | CHAIRMAN AND CEO
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Name | MR. MARK RECIO PARINAS
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Credential | RN BSN PHN
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Telephone | 510-690-1930
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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 | 550000134
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License Number State | CA
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