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General NPI Number Information
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NPI Number | 1659995124
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Entity Type | Organization
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Legal Business Name | SENIOR SERVICES OF ALAMEDA COUNTY LLC
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 15200 HESPERIAN BLVD STE 200
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City | SAN LEANDRO
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State | CA
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Zip | 94578-3927
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Country | US
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Telephone | 510-398-8218
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Fax |
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Provider Business Mailing Address
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Address Line | 15200 HESPERIAN BLVD
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City | SAN LEANDRO
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State | CA
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Zip | 94578-3971
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Country | US
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Telephone | 510-398-8218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LARRY TONTI
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Credential |
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Telephone | 510-398-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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