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General NPI Number Information
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NPI Number | 1861719577
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Entity Type | Organization
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Legal Business Name | PRESIDIO HOME CARE LLC
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 936 E GREEN ST SUITE #105
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City | PASADENA
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State | CA
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Zip | 91106-2900
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Country | US
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Telephone | 800-567-4117
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Fax | 877-637-7309
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Provider Business Mailing Address
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Address Line | 936 E GREEN ST SUITE #105
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City | PASADENA
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State | CA
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Zip | 91106-2900
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Country | US
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Telephone | 800-567-4117
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Fax | 877-637-7309
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | MR. COLIN M BARNES
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Credential |
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Telephone | 626-304-0442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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