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General NPI Number Information
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NPI Number | 1750750600
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Entity Type | Organization
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Legal Business Name | CAREWAY HEALTHCARE INC
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 161 W 25TH AVE STE 206
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City | SAN MATEO
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State | CA
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Zip | 94403-2284
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Country | US
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Telephone | 650-931-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 MERCED ST STE 400
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4200
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Country | US
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Telephone | 510-738-0888
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Fax | 510-738-0800
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Authorized Official
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Title or Position | CFO
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Name | EDUARDO MERCADO
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Credential |
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Telephone | 510-862-3508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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