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General NPI Number Information
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NPI Number | 1710370317
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Entity Type | Organization
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Legal Business Name | ONMYCARE LLC
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 39159 PASEO PADRE PKWY STE 304
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-858-2273
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Fax | 510-298-5756
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Provider Business Mailing Address
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Address Line | 39159 PASEO PADRE PKWY STE 304
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City | FREMONT
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State | CA
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Zip | 94538-1698
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Country | US
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Telephone | 510-858-2273
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Fax | 510-298-5756
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Authorized Official
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Title or Position | PRESIDENT OF OPERATIONS
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Name | KRISTI HALVA
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Credential |
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Telephone | 510-858-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550003402
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License Number State | CA
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