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General NPI Number Information
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NPI Number | 1215633573
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY RESPITE CARE SERVICE, INC.
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 1577 STARR DR, SUITE A
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City | YUBA CITY
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State | CA
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Zip | 95993-9599
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Country | US
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Telephone | 530-755-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1296
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City | YUBA CITY
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State | CA
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Zip | 95992-1296
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Country | US
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Telephone | 530-755-3500
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | LAURA JOYCE MACMILLAN
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Credential |
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Telephone | 530-755-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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