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General NPI Number Information
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NPI Number | 1780171223
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Entity Type | Organization
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Legal Business Name | ALAMOS CARE
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 2193 ALAMOS AVE
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-385-7145
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Fax | 559-840-2837
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Provider Business Mailing Address
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Address Line | 2193 ALAMOS AVE
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City | CLOVIS
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State | CA
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Zip | 93611-4134
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Country | US
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Telephone | 559-385-7145
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Fax | 559-840-2837
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANNA SAHAKYAN
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Credential |
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Telephone | 818-334-0568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 550004015
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License Number State | CA
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