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General NPI Number Information
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NPI Number | 1366244782
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Entity Type | Organization
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Legal Business Name | MD'S HOMECARE PROFESSIONALS, INC.
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 455 TRAMWAY DR
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City | MILPITAS
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State | CA
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Zip | 95035-3641
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Country | US
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Telephone | 415-994-5251
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 ZANKER RD STE 203
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City | SAN JOSE
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State | CA
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Zip | 95134-2122
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Country | US
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Telephone | 408-621-3128
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MARISSA P DAYRIT
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Credential | N/A
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Telephone | 408-621-3128
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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