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General NPI Number Information
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NPI Number | 1205712056
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Entity Type | Organization
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Legal Business Name | HAMIC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 117 S. BENWILEY AVENUE
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City | SANTA MARIA
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State | CA
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Zip | 93458
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Country | US
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Telephone | 805-332-3439
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1245
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City | SANTA MARIA
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State | CA
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Zip | 93456-1245
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Country | US
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Telephone | 805-332-3439
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AMY ADARGO
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Credential |
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Telephone | 760-975-4881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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