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General NPI Number Information
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NPI Number | 1902573207
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Entity Type | Organization
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Legal Business Name | FOOTPRINTS ENTERPRISES, INC.
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 4600 EL CAMINO REAL STE 211
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City | LOS ALTOS
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State | CA
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Zip | 94022-1328
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Country | US
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Telephone | 650-600-8108
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Fax |
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Provider Business Mailing Address
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Address Line | 416 CASITA CT
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City | LOS ALTOS
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State | CA
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Zip | 94022-1736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAVID HURD
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Credential |
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Telephone | 408-802-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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