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General NPI Number Information
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NPI Number | 1174020903
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Entity Type | Organization
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Legal Business Name | CVHCARE PRIVATE DUTY COMPANY
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 2410 CAMINO RAMON STE 331
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City | SAN RAMON
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State | CA
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Zip | 94583-4324
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Country | US
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Telephone | 510-690-1930
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Fax | 925-251-3583
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Provider Business Mailing Address
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Address Line | 2410 CAMINO RAMON STE 331
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City | SAN RAMON
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State | CA
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Zip | 94583-4324
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Country | US
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Telephone | 510-690-1930
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Fax | 925-251-3583
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Authorized Official
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Title or Position | COMPLIANCE & QUALITY DIRECTOR
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Name | SARA PFEFFER
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Credential |
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Telephone | 510-690-1930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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