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General NPI Number Information
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NPI Number | 1598067415
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Entity Type | Organization
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Legal Business Name | ST. JUDE HOME HEALTH AGENCY CORPORATION
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 1106 W LAGOON RD
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City | PLEASANTON
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State | CA
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Zip | 94566-3433
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Country | US
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Telephone | 925-474-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 W LAGOON RD
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City | PLEASANTON
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State | CA
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Zip | 94566-3433
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF QUALITY
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Name | MRS. ELINORE RAMAS
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Credential |
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Telephone | 510-410-0291
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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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