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NPI 1871061192

NPI 1871061192 : BAY HOSPICE CARE, INC. : SAN RAMON, CA

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General NPI Number Information
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    NPI Number           |    1871061192
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAY HOSPICE CARE, INC. 
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Dates
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    Enumeration Date     |    11/05/2018
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    Last Update Date     |    11/05/2018
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Provider Practice Location Address
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    Address Line         |    2551 SAN RAMON VALLEY BLVD STE 238B 
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    City                 |    SAN RAMON
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    State                |    CA
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    Zip                  |    94583-1664
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    Country              |    US
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    Telephone            |    925-718-8161
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    Fax                  |    925-320-5000
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Provider Business Mailing Address
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    Address Line         |    2551 SAN RAMON VALLEY BLVD STE 238B 
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    City                 |    SAN RAMON
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    State                |    CA
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    Zip                  |    94583-1664
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    Country              |    US
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    Telephone            |    925-718-8161
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    Fax                  |    925-320-5000
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. SHAFIQA  AHMADZAI 
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    Credential           |    
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    Telephone            |    925-718-8161
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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       |    
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    License Number State |    
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