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General NPI Number Information
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NPI Number | 1679383053
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Entity Type | Organization
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Legal Business Name | ATHERTON HOME CORP.
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 94 ATHERTON CIR
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City | PITTSBURG
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State | CA
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Zip | 94565-4708
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Country | US
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Telephone | 925-427-0877
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Fax |
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Provider Business Mailing Address
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Address Line | 94 ATHERTON CIR
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City | PITTSBURG
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State | CA
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Zip | 94565-4708
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Country | US
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Telephone | 925-427-0877
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. MELANIE MALLARI PADERNA
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Credential |
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Telephone | 650-580-1914
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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 |
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License Number State |
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