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General NPI Number Information
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NPI Number | 1245529205
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Entity Type | Organization
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Legal Business Name | ACCENTCARE INC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 4801 NW LOOP 410 STE 115
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5347
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Country | US
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Telephone | 210-349-7355
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Fax | 210-349-7385
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Provider Business Mailing Address
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Address Line | 135 TECHNOLOGY DR STE 150
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City | IRVINE
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State | CA
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Zip | 92618-2466
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Country | US
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Telephone | 949-623-1500
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Fax | 949-623-1499
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Authorized Official
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Title or Position | DIRECTOR OF CONTRACTS
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Name | DENISE ENTNER
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Credential |
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Telephone | 949-623-1542
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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 | 007949
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License Number State | TX
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