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General NPI Number Information
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NPI Number | 1396995072
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Entity Type | Organization
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Legal Business Name | CIRCLE OF CARE CORPORATION
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 2130 TURNHOUSE LANE
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City | SAN JOSE
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State | CA
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Zip | 95121-1377
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Country | US
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Telephone | 408-532-0857
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Fax | 408-532-0823
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Provider Business Mailing Address
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Address Line | 6053 WHITEHAVEN COURT
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City | SAN JOSE
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State | CA
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Zip | 95138-2377
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Country | US
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Telephone | 408-270-3475
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Fax | 408-270-3475
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIETTA V. ROMERO
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Credential | R.N.
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Telephone | 408-270-3475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 550000569
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License Number State | CA
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