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General NPI Number Information
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NPI Number | 1710643283
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Entity Type | Organization
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Legal Business Name | EK HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 992 S DE ANZA BLVD
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City | SAN JOSE
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State | CA
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Zip | 95129-2777
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Country | US
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Telephone | 408-973-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 6970 DESTINY DR
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City | ROCKLIN
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State | CA
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Zip | 95677-2987
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Country | US
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Telephone | 408-973-0888
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Fax |
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Authorized Official
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Title or Position | MANAGER OF ANCILLARY SERVICES
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Name | TERRI LYNN CLARKE
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Credential |
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Telephone | 669-444-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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