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General NPI Number Information
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NPI Number | 1568644896
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Entity Type | Organization
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Legal Business Name | WECARE NURSING RESOURCES, LLC
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 5980 TRAVO WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-3081
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Country | US
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Telephone | 916-627-5973
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Fax |
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Provider Business Mailing Address
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Address Line | 5980 TRAVO WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-3081
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Country | US
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Telephone | 916-627-5973
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. MARK LUMAQUIN LACAYANGA
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Credential |
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Telephone | 916-627-5973
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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 | 0900005989
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License Number State | CA
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