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General NPI Number Information
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NPI Number | 1447409677
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Entity Type | Organization
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Legal Business Name | BAYCAL HOME HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 1605 S MAIN ST SUITE 105
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City | MILPITAS
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State | CA
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Zip | 95035-6270
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Country | US
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Telephone | 408-414-0019
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Fax | 888-205-4818
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Provider Business Mailing Address
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Address Line | 1605 S MAIN ST 105
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City | MILPITAS
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State | CA
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Zip | 95035-6270
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Country | US
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Telephone | 408-414-0019
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Fax | 888-205-4818
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PHU MINH TRUONG
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Credential |
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Telephone | 408-414-0019
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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 | 550000637
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License Number State | CA
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