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General NPI Number Information
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NPI Number | 1487153664
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Entity Type | Organization
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Legal Business Name | ROXAN FAMILY HOME CARE
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 304 ACCOLADE DR
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1591
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Country | US
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Telephone | 877-887-7022
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 WASHINGTON AVE PO BOX 855
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City | SAN LEANDRO
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State | CA
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Zip | 94577
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VICTOR APARICIO
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Credential |
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Telephone | 877-887-7022
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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 | 014700064
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 014700064
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License Number State | CA
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