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General NPI Number Information
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NPI Number | 1962044057
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Entity Type | Organization
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Legal Business Name | ALERACARE MEDICAL GROUP OF CALIFORNIA, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 2331 A MONTPELIER DR STE 20
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City | SAN JOSE
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State | CA
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Zip | 95116-1688
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Country | US
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Telephone | 888-209-8874
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Fax | 888-329-4738
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Provider Business Mailing Address
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Address Line | 7039 VALJEAN AVE STE A
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City | VAN NUYS
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State | CA
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Zip | 91406-3915
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Country | US
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Telephone | 800-609-3123
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Fax | 818-475-1774
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIANNE LABARBERA
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Credential | MD
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Telephone | 888-209-8874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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