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General NPI Number Information
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NPI Number | 1245095934
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Entity Type | Organization
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Legal Business Name | ADVOCARE FOR SENIORS AND PLACEMENT
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 9751 BOND RD
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City | ELK GROVE
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State | CA
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Zip | 95624-9419
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Country | US
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Telephone | 916-335-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 9751 BOND RD
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City | ELK GROVE
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State | CA
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Zip | 95624-9419
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Country | US
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Telephone | 916-335-2929
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JOSE DIZON MANTUPAR
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Credential | LABORATORY SCIENTIST
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Telephone | 916-335-2929
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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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