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General NPI Number Information
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NPI Number | 1538565668
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Entity Type | Organization
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Legal Business Name | AVID HEALTHCARE SERVICES
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 1618 BROADWAY
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City | SACRAMENTO
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State | CA
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Zip | 95818-2318
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Country | US
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Telephone | 916-903-4423
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Fax | 916-473-5809
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Provider Business Mailing Address
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Address Line | 3626 FAIR OAKS BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95864-7200
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Country | US
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Telephone | 916-903-4424
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Fax | 916-473-5809
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. KAREN KURENTY
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Credential |
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Telephone | 916-903-4424
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | GNB 32014-03595
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License Number State | CA
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