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General NPI Number Information
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NPI Number | 1629226386
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Entity Type | Organization
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Legal Business Name | GENEVIEVE DACE INC
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 3814 ARLINGTON CIR
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City | PITTSBURG
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State | CA
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Zip | 94565-7013
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Country | US
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Telephone | 925-623-6094
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Fax |
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Provider Business Mailing Address
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Address Line | 3814 ARLINGTON CIR
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City | PITTSBURG
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State | CA
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Zip | 94565-7013
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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 | CEO
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Name | GENEVIEVE DACE
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Credential | MSN, FNP, RN
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Telephone | 925-623-6094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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