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General NPI Number Information
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NPI Number | 1174000855
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Entity Type | Organization
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Legal Business Name | CLINICIANS CONNECT CARE HOME HEALTH & HOSPICE SERVICES
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 716 19TH STREET SUITE 200
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City | SACRAMENTO
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State | CA
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Zip | 95811
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Country | US
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Telephone | 916-686-1380
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Fax |
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Provider Business Mailing Address
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Address Line | 716 19TH STREET SUITE 200
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City | SACRAMENTO
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State | CA
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Zip | 95811
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Country | US
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Telephone | 916-400-0775
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. EMMANUEL CLAMOSA CUBOL
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Credential | BSN RN
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Telephone | 510-709-7930
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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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