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General NPI Number Information
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NPI Number | 1538883079
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Entity Type | Organization
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Legal Business Name | ANCARE LLC
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 20331 LAKE FOREST DR STE C6
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City | LAKE FOREST
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State | CA
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Zip | 92630-8105
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Country | US
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Telephone | 949-203-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 20331 LAKE FOREST DR STE C6
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City | LAKE FOREST
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State | CA
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Zip | 92630-8105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO/CFO
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Name | PRAVIN KUMAR
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Credential |
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Telephone | 949-280-8716
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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 | 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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