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General NPI Number Information
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NPI Number | 1386528388
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Entity Type | Organization
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Legal Business Name | ALERE HEALTH INC.
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1111 J ST STE G-112
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City | MODESTO
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State | CA
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Zip | 95354-0856
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Country | US
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Telephone | 510-203-5973
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Fax |
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Provider Business Mailing Address
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Address Line | 17511 HARBOR VIEW AVE
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City | LATHROP
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State | CA
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Zip | 95330-7937
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Country | US
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Telephone | 510-203-5973
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS LIA MARIE MANECLANG DE GUZMAN
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Credential | LVN
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Telephone | 510-203-5973
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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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