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General NPI Number Information
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NPI Number | 1386052215
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Entity Type | Organization
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Legal Business Name | MERIDIAN CARE INC.
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 3900 NEWPARK MALL SUITE 209.
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City | NEWARK
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State | CA
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Zip | 94560-5243
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Country | US
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Telephone | 510-793-9255
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Fax | 510-793-9253
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Provider Business Mailing Address
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Address Line | 3900 NEWPARK MALL SUITE 209.
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City | NEWARK
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State | CA
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Zip | 94560-5243
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Country | US
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Telephone | 510-793-9255
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Fax | 510-793-9253
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL LANDINGIN
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Credential |
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Telephone | 510-793-9255
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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 | 550001239
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License Number State | CA
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