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General NPI Number Information
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NPI Number | 1548009392
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Entity Type | Organization
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Legal Business Name | C & M HEALTH CARE LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 4617 HIDDEN GLEN DR
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City | ANTIOCH
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State | CA
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Zip | 94531-4720
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Country | US
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Telephone | 925-206-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 4617 HIDDEN GLEN DR
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City | ANTIOCH
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State | CA
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Zip | 94531-4720
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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 | ADMINISTRATOR DIRECTOR OF MARKETING
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Name | CHARMAINE MENDAROS
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Credential | RN
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Telephone | 510-388-7352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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