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General NPI Number Information
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NPI Number | 1710014832
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Entity Type | Organization
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Legal Business Name | SUBACUTECARE
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1848 SARATOGA AVE SUITE 1
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City | SARATOGA
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State | CA
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Zip | 95070-6612
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Country | US
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Telephone | 408-340-1545
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Fax | 408-340-1546
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Provider Business Mailing Address
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Address Line | 1848 SARATOGA AVE SUITE 1
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City | SARATOGA
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State | CA
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Zip | 95070-6612
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Country | US
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Telephone | 408-340-1545
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Fax | 408-340-1546
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ZARCONE
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Credential |
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Telephone | 408-340-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28243
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License Number State | CA
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