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General NPI Number Information
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NPI Number | 1104263557
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Entity Type | Organization
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Legal Business Name | BAYREY INC.
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 851 BURLWAY RD SUITE # 505
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City | BURLINGAME
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State | CA
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Zip | 94010-1720
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Country | US
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Telephone | 650-525-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PINNACLE ST
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-7332
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Country | US
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Telephone | 650-525-0555
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. VLADIMIR BELOSHAPKIN
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Credential |
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Telephone | 415-271-3019
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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 | CA
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