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General NPI Number Information
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NPI Number | 1851053094
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Entity Type | Organization
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Legal Business Name | ALLCARE ANYWHERE
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 31248 OAK CREST DR SUITE 120
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361
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Country | US
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Telephone | 800-584-0958
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Fax |
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Provider Business Mailing Address
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Address Line | 2973 HARBOR BLVD # 821
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City | COSTA MESA
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State | CA
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Zip | 92626-3912
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Country | US
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Telephone | 800-584-0958
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | JENNIFER HUGHES GOODMAN
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Credential | OTR/L
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Telephone | 800-584-0958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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