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General NPI Number Information
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NPI Number | 1861868424
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Entity Type | Organization
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Legal Business Name | AGILE HOME MONITORING
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 1233 QUARRY LN SUITE 100
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City | PLEASANTON
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State | CA
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Zip | 94566-8452
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Country | US
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Telephone | 877-622-4453
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Fax | 877-669-1461
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Provider Business Mailing Address
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Address Line | 1233 QUARRY LN SUITE 100
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City | PLEASANTON
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State | CA
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Zip | 94566-8452
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Country | US
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Telephone | 877-622-4453
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Fax | 877-669-1461
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Authorized Official
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Title or Position | CEO
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Name | GERRI A SCHULTZ
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Credential |
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Telephone | 925-965-0737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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