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General NPI Number Information
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NPI Number | 1558881557
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Entity Type | Organization
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Legal Business Name | HERRFELDT BUSINESS VENTURES INC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5363 H STREET SUITE A
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City | SACRAMENTO
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State | CA
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Zip | 95819
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Country | US
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Telephone | 916-706-0169
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Fax | 916-706-0238
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Provider Business Mailing Address
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Address Line | 5363 H ST STE A
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City | SACRAMENTO
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State | CA
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Zip | 95819-3555
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Country | US
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Telephone | 916-706-0169
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Fax | 916-706-0238
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN HERRFELDT
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Credential |
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Telephone | 916-706-0169
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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 | 344700020
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License Number State | CA
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