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NPI 1093519688

NPI 1093519688 : WE CARE PROGRAM - TURLOCK : TURLOCK, CA

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General NPI Number Information
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    NPI Number           |    1093519688
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    Entity Type          |    Organization 
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    Legal Business Name  |    WE CARE PROGRAM - TURLOCK 
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Dates
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    Enumeration Date     |    04/02/2025
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    Last Update Date     |    04/02/2025
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Provider Practice Location Address
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    Address Line         |    219 S BROADWAY 
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    City                 |    TURLOCK
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    State                |    CA
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    Zip                  |    95380-5413
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    Country              |    US
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    Telephone            |    209-620-1032
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    Fax                  |    209-226-1255
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1291 
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    City                 |    TURLOCK
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    State                |    CA
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    Zip                  |    95381-1291
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    Country              |    US
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    Telephone            |    209-664-2003
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    Fax                  |    209-226-1255
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |    MRS. COREY ESTEVES MAI 
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    Credential           |    
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    Telephone            |    209-620-1032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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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        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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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        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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