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General NPI Number Information
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NPI Number | 1740796051
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Entity Type | Organization
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Legal Business Name | TERPCARE
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 729 SUNRISE AVE STE 301
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City | ROSEVILLE
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State | CA
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Zip | 95661-4504
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Country | US
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Telephone | 916-742-5328
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Fax | 801-807-4606
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Provider Business Mailing Address
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Address Line | 729 SUNRISE AVE STE 301
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City | ROSEVILLE
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State | CA
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Zip | 95661-4504
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Country | US
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Telephone | 916-742-5328
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Fax | 801-807-4606
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Authorized Official
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Title or Position | OWNER, PRESIDENT & GENERAL MANAGER
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Name | PAUL TERPELUK
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Credential |
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Telephone | 916-742-5328
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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 | 314700018
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License Number State | CA
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