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General NPI Number Information
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NPI Number | 1750850210
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Entity Type | Organization
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Legal Business Name | CLEAR CHOICE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 4550 N PERSHING AVE STE H
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City | STOCKTON
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State | CA
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Zip | 95207-6737
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Country | US
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Telephone | 209-932-9117
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Fax | 209-851-3996
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Provider Business Mailing Address
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Address Line | 4550 N PERSHING AVE STE H
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City | STOCKTON
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State | CA
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Zip | 95207-6737
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Country | US
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Telephone | 209-932-9117
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Fax | 209-851-3996
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CLEMENT UMEATOH ATABOH
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Credential |
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Telephone | 323-842-8044
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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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