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NPI 1730195066

NPI 1730195066 : ADVANTACARE HEALTH INC : MONTEREY, CA

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General NPI Number Information
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    NPI Number           |    1730195066
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANTACARE HEALTH INC 
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Dates
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    Enumeration Date     |    07/31/2006
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    Last Update Date     |    10/01/2015
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Provider Practice Location Address
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    Address Line         |    5 MANDEVILLE CT STE 100
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    City                 |    MONTEREY
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    State                |    CA
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    Zip                  |    93940-5745
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    Country              |    US
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    Telephone            |    800-481-4662
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    Fax                  |    888-654-0003
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Provider Business Mailing Address
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    Address Line         |    5 MANDEVILLE CT STE 100
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    City                 |    MONTEREY
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    State                |    CA
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    Zip                  |    93940-5745
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    Country              |    US
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    Telephone            |    800-481-4662
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    Fax                  |    888-654-0003
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Authorized Official
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    Title or Position    |    PRES
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    Name                 |     DUNCAN  MCCARTER 
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    Credential           |    RPH
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    Telephone            |    831-887-1301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3336H0001X
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    Taxonomy Name        |    Home Infusion Therapy Pharmacy
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    License Number       |    PHY48323
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    License Number State |    CA
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