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General NPI Number Information
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NPI Number | 1699186510
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Entity Type | Organization
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Legal Business Name | ACCESSIBLE HEALTH CARE CENTRAL COAST
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 1515 CAPITOLA RD SUITE M
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City | SANTA CRUZ
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State | CA
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Zip | 95062-2954
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Country | US
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Telephone | 831-566-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 CAPITOLA RD SUITE M
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City | SANTA CRUZ
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State | CA
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Zip | 95062-2954
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Country | US
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Telephone | 831-566-9450
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Fax |
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Authorized Official
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Title or Position | OWNER - CLIENT CARE DIRECTOR
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Name | ALYA ROSS
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Credential |
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Telephone | 831-464-3400
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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