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General NPI Number Information
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NPI Number | 1639261795
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Entity Type | Organization
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Legal Business Name | ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 7801 RUSH RIVER DR
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City | SACRAMENTO
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State | CA
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Zip | 95831-4602
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Country | US
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Telephone | 916-393-9020
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Fax | 916-393-0113
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Provider Business Mailing Address
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Address Line | 7801 RUSH RIVER DR
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City | SACRAMENTO
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State | CA
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Zip | 95831-4602
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Country | US
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Telephone | 916-393-9020
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Fax | 916-393-9025
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MARISSA BELMES
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Credential |
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Telephone | 916-393-9020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100000311
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 030000311
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License Number State | CA
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