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General NPI Number Information
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NPI Number | 1760881510
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Entity Type | Organization
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Legal Business Name | TCM ELDERLY HOME CARE
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 931 CAMINO RAMON
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City | DANVILLE
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State | CA
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Zip | 94565
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Country | US
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Telephone | 925-212-5977
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Fax | 925-291-2868
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Provider Business Mailing Address
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Address Line | 1066 OAKPOINT DR
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City | BAY POINT
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State | CA
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Zip | 94565-7619
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Country | US
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Telephone | 925-212-5977
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Fax | 925-291-2868
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VICTORIA MENDOZA LINGBANAN
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Credential | RN
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Telephone | 925-212-5977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 075600303
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 075600088
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License Number State | CA
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