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General NPI Number Information
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NPI Number | 1346680220
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Entity Type | Organization
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Legal Business Name | SAMARIA ELDERLY CARE, INC
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 1400 COLEMAN AVE SUITE E13
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City | SANTA CLARA
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State | CA
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Zip | 95050-4309
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Country | US
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Telephone | 408-985-9074
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 COLEMAN AVE SUITE E13
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City | SANTA CLARA
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State | CA
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Zip | 95050-4309
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATSINET BELAY
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Credential |
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Telephone | 408-985-9074
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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 |
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License Number State |
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