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General NPI Number Information
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NPI Number | 1528014982
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Entity Type | Organization
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Legal Business Name | ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 3636 BIRCH ST STE 195
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2644
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Country | US
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Telephone | 949-250-0133
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Fax | 949-250-4472
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Provider Business Mailing Address
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Address Line | 17855 N. DALLAS PKWY. SUITE 200
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City | DALLAS
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State | TX
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Zip | 75287-6857
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Country | US
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Telephone | 972-267-1100
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Fax | 972-267-1116
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Authorized Official
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Title or Position | VP LEGAL
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Name | M'LISS JONES KANE
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Credential |
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Telephone | 949-623-1582
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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 | 060000027
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License Number State | CA
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