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General NPI Number Information
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NPI Number | 1528271186
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Entity Type | Organization
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Legal Business Name | AMERICARE ADHC, INC.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 340 RANCHEROS DR STE 196
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City | SAN MARCOS
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State | CA
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Zip | 92069-2980
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Country | US
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Telephone | 760-682-2424
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Fax | 760-471-5104
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Provider Business Mailing Address
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Address Line | 340 RANCHEROS DR STE 196
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City | SAN MARCOS
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State | CA
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Zip | 92069-2980
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Country | US
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Telephone | 760-682-2424
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Fax | 760-471-5104
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BORIS BRUCE NASHTUT
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Credential |
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Telephone | 858-722-3991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | CA
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