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General NPI Number Information
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NPI Number | 1740733690
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Entity Type | Organization
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Legal Business Name | R MACARTHUR CORPORATION
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 303 W JOAQUIN AVE STE. 230
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City | SAN LEANDRO
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State | CA
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Zip | 94577-3642
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Country | US
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Telephone | 510-686-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 303 W JOAQUIN AVE STE. 230
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City | SAN LEANDRO
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State | CA
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Zip | 94577-3642
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Country | US
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Telephone | 510-686-9940
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MS. RENEE MACARTHUR
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Credential |
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Telephone | 510-686-9940
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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 | 014700003
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License Number State | CA
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