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General NPI Number Information
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NPI Number | 1407755127
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Entity Type | Organization
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Legal Business Name | AEA HOMECARE AGENCY
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 17036 S HARLAN RD
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City | LATHROP
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State | CA
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Zip | 95330-8739
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Country | US
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Telephone | 916-857-3552
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Fax |
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Provider Business Mailing Address
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Address Line | 619 STAGE COACH DR
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City | LATHROP
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State | CA
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Zip | 95330-8962
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Country | US
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Telephone | 916-857-3552
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMELY BUCCAT
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Credential |
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Telephone | 209-871-9629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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