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General NPI Number Information
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NPI Number | 1437267309
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Entity Type | Organization
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Legal Business Name | CARE ALTERNATIVES OF CALIFORNIA, LLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 650 E HOSPITALITY LN STE 460
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3595
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Country | US
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Telephone | 951-353-8006
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Fax | 951-353-8106
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Provider Business Mailing Address
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Address Line | 65 JACKSON DR SUITE 103
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City | CRANFORD
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State | NJ
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Zip | 07016-3516
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Country | US
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Telephone | 908-931-9068
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Fax | 908-931-9698
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | YEWANDE EFODILI
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Credential |
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Telephone | 908-931-9068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 80000789
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License Number State | CA
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