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General NPI Number Information
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NPI Number | 1982949053
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Entity Type | Organization
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Legal Business Name | ASSIST ON CALL PROFESSIONAL IN-HOME CARE SERVICES, INC,
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 2100 MONUMENT BLVD SUITE 14
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3489
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Country | US
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Telephone | 925-969-7634
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MONUMENT BLVD SUITE 14
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3489
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Country | US
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Telephone | 925-969-7634
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. TERRY CRUZ
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Credential |
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Telephone | 925-969-7634
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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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