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General NPI Number Information
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NPI Number | 1174849822
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Entity Type | Organization
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Legal Business Name | STELLAR CARE ADVOCATES, INC.
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 4736 MICHELLE WAY
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City | UNION CITY
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State | CA
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Zip | 94587-5039
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Country | US
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Telephone | 551-208-0345
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Fax | 510-487-5759
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Provider Business Mailing Address
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Address Line | 4736 MICHELLE WAY
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City | UNION CITY
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State | CA
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Zip | 94587-5039
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Country | US
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Telephone | 551-208-0345
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Fax | 510-487-5759
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Authorized Official
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Title or Position | PRESIDENT
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Name | BERNARD PINEDA
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Credential | P.T.
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Telephone | 551-208-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 33167
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License Number State | CA
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