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General NPI Number Information
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NPI Number | 1518730993
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY IN-HOME CARE LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1011 W CENTER AVE
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City | VISALIA
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State | CA
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Zip | 93291-5914
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Country | US
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Telephone | 559-786-1819
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Fax |
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Provider Business Mailing Address
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Address Line | 13274 PERRY CT
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City | VISALIA
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State | CA
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Zip | 93292-9389
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Country | US
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Telephone | 559-786-1819
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Fax |
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Authorized Official
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Title or Position | LICENSEE
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Name | EESAENG MARTINEZ
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Credential | REGISTERED NURSE
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Telephone | 559-786-1819
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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 |
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License Number State |
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