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General NPI Number Information
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NPI Number | 1144675869
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Entity Type | Organization
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Legal Business Name | AIC HEALTH CARE INC.
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 4049 FIRST ST STE 229
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City | LIVERMORE
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State | CA
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Zip | 94551
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Country | US
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Telephone | 925-215-1890
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Fax | 925-271-5112
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Provider Business Mailing Address
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Address Line | 4049 FIRST ST STE 229
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City | LIVERMORE
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State | CA
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Zip | 94551-5363
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Country | US
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Telephone | 925-215-1890
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT CARE SERVICES
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Name | MS. HELEN MARANAN MACATANGAY
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Credential | RN
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Telephone | 510-378-5167
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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 | 550004316
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License Number State | CA
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