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General NPI Number Information
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NPI Number | 1205218732
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Entity Type | Organization
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Legal Business Name | ALL SUPPORT AT HOME LLC
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Dates
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Enumeration Date | 06/20/2015
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 1038 LEIGH AVE SUITE 216
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City | SAN JOSE
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State | CA
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Zip | 95126-4129
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Country | US
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Telephone | 408-971-1997
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Fax |
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Provider Business Mailing Address
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Address Line | 1038 LEIGH AVE SUITE 216
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City | SAN JOSE
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State | CA
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Zip | 95126-4129
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Country | US
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Telephone | 408-971-1997
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Fax | 408-689-4349
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Authorized Official
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Title or Position | CEO/LLC MEMBER
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Name | MOHAMMED K SAAD
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Credential |
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Telephone | 408-458-0373
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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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