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General NPI Number Information
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NPI Number | 1528618170
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Entity Type | Organization
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Legal Business Name | CARE AT HOME LLC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 1181 CALIFORNIA AVE STE 170
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City | CORONA
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State | CA
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Zip | 92881-7296
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Country | US
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Telephone | 951-305-8990
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Fax | 951-543-9782
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Provider Business Mailing Address
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Address Line | 1181 CALIFORNIA AVE STE 170
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City | CORONA
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State | CA
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Zip | 92881-7296
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Country | US
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Telephone | 951-305-8990
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Fax | 951-543-9782
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | SHEREE CLAY
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Credential |
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Telephone | 951-305-8990
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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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