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General NPI Number Information
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NPI Number | 1811236797
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Entity Type | Organization
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Legal Business Name | HOME MEDICAL CARE ASSOCIATES, INC
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 1307 MILL ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2816
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Country | US
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Telephone | 805-748-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 MILL ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2816
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Country | US
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Telephone | 805-748-8810
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MINKE WINKLERPRINS
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Credential | MD
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Telephone | 805-748-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | G49417
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License Number State | CA
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