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General NPI Number Information
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NPI Number | 1710246475
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Entity Type | Organization
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Legal Business Name | SAMARIA ELDERLY CARE INC
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 673 LAURIE AVE
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City | SANTA CLARA
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State | CA
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Zip | 95054
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Country | US
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Telephone | 408-391-8426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 344
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City | SANTA CLARA
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State | CA
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Zip | 95052-0344
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Country | US
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Telephone | 408-391-8426
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NATSINET M BELAY
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Credential |
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Telephone | 408-391-8426
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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 | 3176768
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License Number State | CA
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