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General NPI Number Information
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NPI Number | 1649959255
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Entity Type | Organization
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Legal Business Name | ACCESS CARE MANAGEMENT LLC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 1188 PADRE DR STE 125
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City | SALINAS
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State | CA
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Zip | 93901-2261
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Country | US
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Telephone | 805-410-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 5630 VENICE BLVD # 1169
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City | LOS ANGELES
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State | CA
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Zip | 90019-5127
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Country | US
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Telephone | 805-410-4880
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BEHAUDEN OMER
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Credential | APRN
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Telephone | 805-410-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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