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General NPI Number Information
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NPI Number | 1902318454
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Entity Type | Organization
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Legal Business Name | ANGELICARE IN HOME COMPANION CARE INC.
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 4840 N 1ST ST
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City | FRESNO
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State | CA
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Zip | 93726-0525
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Country | US
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Telephone | 559-453-0151
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Fax | 559-682-1071
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Provider Business Mailing Address
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Address Line | 4840 N 1ST ST
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City | FRESNO
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State | CA
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Zip | 93726-0525
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Country | US
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Telephone | 559-453-0151
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Fax | 559-682-1071
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. STEVEN GARCIA
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Credential |
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Telephone | 559-453-0151
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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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