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General NPI Number Information
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NPI Number | 1578806527
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Entity Type | Organization
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Legal Business Name | INTERIM ASSISTED CARE OF NORTHERN CALIFORNIA
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 1557 YUBA CITY SUITE D
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City | YUBA CITY
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State | CA
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Zip | 95993-2658
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Country | US
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Telephone | 530-673-0330
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Fax | 530-673-2349
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Provider Business Mailing Address
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Address Line | 2608 VICTOR AVE SUITE C
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City | REDDING
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State | CA
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Zip | 96002-1447
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Country | US
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Telephone | 530-722-1530
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Fax | 530-226-8293
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT SEAWRIGHT
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Credential |
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Telephone | 530-722-1530
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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 |
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License Number State |
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