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General NPI Number Information
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NPI Number | 1558734558
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Entity Type | Organization
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Legal Business Name | NURSING AND CARE GIVERS COOPERATIVE
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 1001 MARINA VILLAGE PKWY SUITE 200 C/O BRUCE HARLAND
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City | ALAMEDA
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State | CA
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Zip | 94501-1091
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Country | US
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Telephone | 510-337-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 MARINA VILLAGE PKWY SUITE 200 C/O BRUCE HARLAND
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City | ALAMEDA
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State | CA
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Zip | 94501-1091
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Country | US
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Telephone | 510-337-1001
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | DESIREE PEDROZA
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Credential | LVN
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Telephone | 626-664-5097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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