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General NPI Number Information
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NPI Number | 1730680810
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Entity Type | Organization
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Legal Business Name | VILLAGE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 100 THORNDALE DR
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City | SAN RAFAEL
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State | CA
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Zip | 94903-4501
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Country | US
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Telephone | 415-891-7929
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 821
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City | WOODACRE
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State | CA
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Zip | 94973-0821
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Country | US
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Telephone | 415-948-3784
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Fax |
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Authorized Official
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Title or Position | COO
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Name | VERONICA JANE HIRSCHMUGL
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Credential |
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Telephone | 415-891-7929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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