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General NPI Number Information
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NPI Number | 1861821803
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Entity Type | Organization
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Legal Business Name | MIRANTE HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 7080 DONLON WAY STE 220
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City | DUBLIN
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State | CA
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Zip | 94568-2789
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Country | US
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Telephone | 925-833-9770
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Fax | 925-833-9771
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Provider Business Mailing Address
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Address Line | 7080 DONLON WAY STE 220
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City | DUBLIN
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State | CA
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Zip | 94568-2789
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Country | US
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Telephone | 925-833-9770
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Fax | 925-833-9771
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Authorized Official
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Title or Position | PRESIDENT
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Name | SELMA JEAN MIRANTE
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Credential |
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Telephone | 925-833-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550001177
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License Number State | CA
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