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General NPI Number Information
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NPI Number | 1104601541
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Entity Type | Organization
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Legal Business Name | REVIVE DAY PROGRAM
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 2906 MESA OAK CT
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City | BRENTWOOD
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State | CA
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Zip | 94513-4625
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Country | US
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Telephone | 925-623-6094
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Fax |
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Provider Business Mailing Address
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Address Line | 8368 BRENTWOOD BLVD # C
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City | BRENTWOOD
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State | CA
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Zip | 94513-1347
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Country | US
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Telephone | 925-623-6094
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GENEVIEVE DACE
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Credential |
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Telephone | 925-623-6094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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