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General NPI Number Information
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NPI Number | 1134584824
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Entity Type | Organization
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Legal Business Name | CAREMERIDIAN, LLC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 08/18/2019
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Provider Practice Location Address
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Address Line | 7732 E SANTIAGO CANYON RD
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City | ORANGE
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State | CA
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Zip | 92869-1829
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Country | US
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Telephone | 714-771-5276
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Fax | 714-771-1452
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Provider Business Mailing Address
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Address Line | 163 TECHNOLOGY DR STE 200
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City | IRVINE
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State | CA
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Zip | 92618-2486
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Country | US
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Telephone | 949-794-0787
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Fax | 949-261-0457
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MR. SEAN SHEA
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Credential |
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Telephone | 617-688-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 306004785
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 306004784
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License Number State | CA
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