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General NPI Number Information
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NPI Number | 1508241720
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Entity Type | Organization
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Legal Business Name | RANCHO PACIFIC HOME CARE, INC.
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 4416 SAN JOAQUIN ST
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City | OCEANSIDE
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State | CA
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Zip | 92057-6021
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Country | US
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Telephone | 760-822-0807
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Fax |
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Provider Business Mailing Address
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Address Line | 4416 SAN JOAQUIN ST
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City | OCEANSIDE
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State | CA
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Zip | 92057-6021
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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 | CEO
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Name | MONICA SIHARATH
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Credential |
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Telephone | 760-822-0807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 374602864
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License Number State | CA
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