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General NPI Number Information
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NPI Number | 1154750867
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Entity Type | Organization
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Legal Business Name | GRACE COMMUNITY HOME HEALTH INC
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Dates
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Enumeration Date | 11/03/2013
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 229 POLARIS AVE STE 5
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-4579
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Country | US
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Telephone | 650-784-0082
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Fax | 650-564-0082
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Provider Business Mailing Address
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Address Line | 229 POLARIS AVE STE 5
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-4579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALBERT LAM
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Credential | M.D.
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Telephone | 650-784-0082
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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 |
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