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General NPI Number Information
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NPI Number | 1275978694
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Entity Type | Organization
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Legal Business Name | ACTS OF SERVICE
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 6327 W WRENWOOD LN
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City | FRESNO
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State | CA
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Zip | 93723-7654
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Country | US
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Telephone | 559-412-7686
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Fax | 559-412-7646
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Provider Business Mailing Address
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Address Line | 6327 W WRENWOOD LN
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City | FRESNO
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State | CA
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Zip | 93723-7654
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Country | US
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Telephone | 559-412-7686
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Fax | 559-412-7646
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Authorized Official
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Title or Position | OWNER/NURSE
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Name | VICKY ROBINSON
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Credential | LVN
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Telephone | 559-412-7686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 133072
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License Number State | CA
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