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General NPI Number Information
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NPI Number | 1982063319
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Entity Type | Organization
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Legal Business Name | AGAPE CAREGIVERS SERVICES, INC.
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Dates
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Enumeration Date | 02/13/2016
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 971 VIA VENETO
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City | SAN RAMON
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State | CA
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Zip | 94583-3170
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Country | US
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Telephone | 925-236-2477
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Fax | 925-369-7355
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Provider Business Mailing Address
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Address Line | 2415 SAN RAMON VALLEY BLVD
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City | SAN RAMON
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State | CA
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Zip | 94583-5381
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Country | US
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Telephone | 925-236-2477
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Fax | 925-369-7355
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | CONNIE JO
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Credential |
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Telephone | 925-236-2477
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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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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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