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General NPI Number Information
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NPI Number | 1174108237
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Entity Type | Organization
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Legal Business Name | MARLEE HOME CARE SERVICES, INC
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 1331 51ST AVE
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City | OAKLAND
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State | CA
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Zip | 94601-5603
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Country | US
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Telephone | 415-966-6684
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 51ST AVE
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City | OAKLAND
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State | CA
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Zip | 94601-5603
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Country | US
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Telephone | 510-967-6397
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GEOGRE COLEMAN
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Credential |
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Telephone | 510-967-6397
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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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