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General NPI Number Information
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NPI Number | 1649660382
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Entity Type | Organization
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Legal Business Name | ASTRA HEALTH CARE, INC.
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 2141 BROADWAY # 201
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City | OAKLAND
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State | CA
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Zip | 94612-2309
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Country | US
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Telephone | 510-272-0777
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Fax | 510-272-0111
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Provider Business Mailing Address
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Address Line | 2141 BROADWAY # 201
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City | OAKLAND
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State | CA
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Zip | 94612-2309
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Country | US
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Telephone | 510-272-0777
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Fax | 510-272-0111
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Authorized Official
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Title or Position | DIRECTOR HHA
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Name | ROSLIN GUILLORY
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Credential | RN
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Telephone | 510-272-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 303759
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License Number State | CA
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