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General NPI Number Information
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NPI Number | 1497329874
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Entity Type | Organization
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Legal Business Name | GENTLE HEART CARE SERVICES
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 1559 D ST
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City | HAYWARD
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State | CA
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Zip | 94541-4318
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Country | US
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Telephone | 510-397-4813
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Fax | 510-856-5102
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Provider Business Mailing Address
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Address Line | PO BOX 4084
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City | HAYWARD
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State | CA
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Zip | 94540-4084
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Country | US
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Telephone | 510-342-6740
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ALANNA SPENCER
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Credential |
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Telephone | 510-342-6740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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