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General NPI Number Information
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NPI Number | 1265830558
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Entity Type | Organization
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Legal Business Name | CASTRO VALLEY HEALTH, INC.
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 310 BERRELLESA ST
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City | MARTINEZ
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State | CA
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Zip | 94553-1012
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Country | US
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Telephone | 925-228-2767
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Fax | 925-228-2793
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Provider Business Mailing Address
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Address Line | 2410 CAMINO RAMON SUITE 331
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City | SAN RAMON
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State | CA
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Zip | 94583-4334
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Country | US
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Telephone | 510-690-1930
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Fax | 510-690-0930
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Authorized Official
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Title or Position | CHAIRMAN, CEO
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Name | MR. MARK ANTHONY R PARINAS
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Credential | RN, PHN
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Telephone | 510-690-1930
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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 | 550001160
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License Number State | CA
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