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General NPI Number Information
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NPI Number | 1548552359
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Entity Type | Organization
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Legal Business Name | ACE HOME CARE
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 11155 CITRUS DR #68
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City | VENTURA
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State | CA
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Zip | 93004-1304
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Country | US
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Telephone | 805-824-7821
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4932
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City | VENTURA
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State | CA
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Zip | 93007-0932
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Country | US
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Telephone | 805-824-7821
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JAYNET BASILAN CARDENAS
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Credential |
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Telephone | 805-824-7821
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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 | 3-11-2851
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License Number State | CA
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