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General NPI Number Information
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NPI Number | 1669701223
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Entity Type | Organization
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Legal Business Name | MERIDIAN HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 5294 E HEATON AVE
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City | FRESNO
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State | CA
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Zip | 93727-5927
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Country | US
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Telephone | 559-252-5856
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Fax | 559-452-1536
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Provider Business Mailing Address
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Address Line | 5294 E HEATON AVE
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City | FRESNO
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State | CA
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Zip | 93727-5927
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Country | US
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Telephone | 559-252-5856
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Fax | 559-452-1536
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. ERLINDA ARCUINO JAMILI
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Credential | R.N.
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Telephone | 559-999-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 550001033
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License Number State | CA
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