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General NPI Number Information
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NPI Number | 1477310688
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Entity Type | Organization
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Legal Business Name | ABUNDANCE CARE HOME HEALTH LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1832 SOSCOL AVE STE 107
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City | NAPA
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State | CA
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Zip | 94559-1350
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Country | US
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Telephone | 707-913-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CONDOR CT
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-3080
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Country | US
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Telephone | 707-913-7111
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Fax | 707-638-0328
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JENNIFER JOCSON
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Credential |
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Telephone | 415-846-7097
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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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