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General NPI Number Information
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NPI Number | 1972504702
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Entity Type | Organization
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Legal Business Name | SPECIALIZED DAYCARE SERVICES, INC
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 8632 GREENBACK LN SUITE A
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City | ORANGEVALE
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State | CA
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Zip | 95662-3913
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Country | US
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Telephone | 916-987-8632
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Fax | 916-989-8635
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Provider Business Mailing Address
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Address Line | PO BOX 1111
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City | FAIR OAKS
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State | CA
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Zip | 95628-1111
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Country | US
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Telephone | 916-987-8632
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Fax | 916-989-8635
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NANCY ANNE GIACHINO
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Credential | RN
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Telephone | 916-987-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number | 100000763
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License Number State | CA
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