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General NPI Number Information
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NPI Number | 1487807293
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Entity Type | Organization
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Legal Business Name | HEART OF HUMANITY HEALTH SERVICES, INC
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 1400 GRANT AVE STE 203
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City | NOVATO
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State | CA
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Zip | 94945-3156
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Country | US
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Telephone | 415-898-4278
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Fax | 415-898-0446
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Provider Business Mailing Address
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Address Line | 1400 GRANT AVE STE 203
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City | NOVATO
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State | CA
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Zip | 94945-3156
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Country | US
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Telephone | 415-898-4278
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Fax | 415-898-0446
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. VERLINDA MONTOYA
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Credential | MHSA/MS/RN
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Telephone | 415-898-4278
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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 | 010000420
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License Number State | CA
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